Individual provider · Type 1 NPI

Deanna Lorraine Wallis, REGISTERED NURSE

Registered Nurse · Fort Carson, CO

NPI number 1619901790 Active

Practice location

Usa Meddac Evans Army Community Hospital, Pacl Sds
Fort Carson, CO 80913-4604

Call (719) 526-7071 Map

Fax (719) 526-7007

Mailing address

1650 Cochrane Circle, Department Of The Army Usa Meddac Evans Army Community
Fort Carson, CO 80913-4604

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	RN135981 (GA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1619901790

Deanna Lorraine Wallis, REGISTERED NURSE's National Provider Identifier is 1619901790, issued on Jul 11, 2006. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Fort Carson, CO. The record was last updated on Jul 8, 2007.