Individual provider · Type 1 NPI
Tereasa Anne Wallace, RN, MN
Maternal Newborn Registered Nurse · Boulder, CO
NPI number
1982993366
Active
Practice location
1333 Iris Ave
Boulder, CO 80304-2226
Fax (720) 406-3664
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Maternal Newborn Registered Nurse Primary | 163WM0102X | 92415 (CO) |
Maternal Newborn Registered Nurse: Definition to come...
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About NPI 1982993366
Tereasa Anne Wallace, RN, MN's National Provider Identifier is 1982993366, issued on Apr 6, 2011. The primary taxonomy on file is Maternal Newborn Registered Nurse (163WM0102X), and the practice location is in Boulder, CO. The record was last updated on Apr 6, 2011.