Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAUREL E WALLACE, RN
Active Sole ProprietorChild & Adolescent Psychiatric Nurse · NORTHAMPTON, MA
Registration Details
- NPI Number
- 1396200101
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 6, 2019 (7.245088108904 yrs)
- Last Updated
- Nov 26, 2019
- License
-
RN121600 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
50 PLEASANT STNORTHAMPTON, MA, 010604127Browse MA providers · Browse ZIP 01060
- Phone
- 4135846855
- Primary Specialty
-
Child & Adolescent Psychiatric Nurse
163WP0808X
Other Child & Adolescent Psychiatric Nurse Providers in NORTHAMPTON, MA
| Name | Credential | NPI |
|---|---|---|
| CORRINA RILEY | — | 1073989299 |
| CASSANDRA PAIGE MILLER | RN | 1063068104 |
| MELISSA OSBORNE | RN | 1164078291 |
| SUSAN ELISABETH BORDEAUX | — | 1568191302 |
| SAMANTHA ANN CAPISTRANT | — | 1962130302 |
| MS. SO YEON CHOI | — | 1124727912 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.