Individual provider · Type 1 NPI

Maureen A. Wallace-King, NP

Nurse Practitioner · Cleveland, OH

NPI number 1760654941 Active

Practice location

9500 Euclid Ave
Cleveland, OH 44195-0001

Mailing address

1380 Kingsway
Westlake, OH 44145-2611

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN178999 (OH)

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 1760654941

Maureen A. Wallace-King, NP's National Provider Identifier is 1760654941, issued on Mar 28, 2008. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Cleveland, OH. The record was last updated on Feb 5, 2013.