Individual provider · Type 1 NPI

Joetta Deswarte Wallce, NP

Nurse Practitioner · Long Beach, CA

NPI number 1417258294 Active

Practice location

2653 Elm Ave, Suite 200
Long Beach, CA 90806-1652

Call (562) 728-5000 Map

Fax (562) 595-5296

Mailing address

6430 W Sunset Blvd, Suite 600
Los Angeles, CA 90028-7900

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X244499 (CA)
Nurse Practitioner Primary 363L00000X15928 (CA)
Clinical Nurse Specialist 364S00000X787 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1417258294

Joetta Deswarte Wallce, NP's National Provider Identifier is 1417258294, issued on Nov 9, 2010. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Long Beach, CA. The record was last updated on Nov 9, 2010.