Individual provider · Type 1 NPI
Ryan Wallace, NP
Adult Health Nurse Practitioner · Poughkeepsie, NY
NPI number
1689389868
Active
Practice location
45 Reade Pl
Poughkeepsie, NY 12601-3947
Mailing address
6136 170th St Apt M4
Fresh Meadows, NY 11365-1957
Other practice locations
- 6136 170th St Apt M4, Fresh Meadows, NY 11365-1957 · (845) 297-3913
- 838 Fair St, Carmel, NY 10512-3085 · (845) 878-4111
- 300 Grant Ave, Lake Katrine, NY 12449-5340 · (845) 366-3500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 170263 (CT) |
| Registered Nurse | 163W00000X | 639923 (NY) |
| Nurse Practitioner | 363L00000X | 10962 (CT) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 310895 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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Other adult health nurse practitioner providers in Poughkeepsie
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- Allison Oakley, NPAdult Health Nurse Practitioner Poughkeepsie, NY NPI 1063332104
- Cristin O'NealAdult Health Nurse Practitioner Poughkeepsie, NY NPI 1063822500
- Rachel Moscicki, AGPCNP-BC, RNAdult Health Nurse Practitioner Poughkeepsie, NY NPI 1063828440
- Renielyz RomeroAdult Health Nurse Practitioner Poughkeepsie, NY NPI 1073432688
- Joanne Growney, RN, ANP-BCAdult Health Nurse Practitioner Poughkeepsie, NY NPI 1114150075
- Mauricia P. Alo, MSN, APRN, BC, NP-CAdult Health Nurse Practitioner Poughkeepsie, NY NPI 1124011838
- Erin H. Gillen, RN NPAdult Health Nurse Practitioner Poughkeepsie, NY NPI 1194836627
About NPI 1689389868
Ryan Wallace, NP's National Provider Identifier is 1689389868, issued on Jan 23, 2023. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Poughkeepsie, NY. The record was last updated on Jun 16, 2025.