Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN COVEY WALLACE, RN
Active Sole ProprietorJUSTIN COVEY WALLACE, RN is a Emergency Nurse healthcare provider located in PHOENIX, Arizona. NPI 1578807103 is currently active in the NPPES registry. Verify at CMS.
Emergency Nurse · PHOENIX, AZ
Registration Details
- NPI Number
- 1578807103
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 20, 2012 (13.777358490297 yrs)
- Last Updated
- Nov 20, 2012
- License
-
RN173423 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4212 N 16TH STPHOENIX, AZ, 850165319Browse AZ providers · Browse ZIP 85016
- Phone
- 6022631200
- Primary Specialty
-
Emergency Nurse
163WE0003X
Other Emergency Nurse Providers in PHOENIX, AZ
| Name | Credential | NPI |
|---|---|---|
| ANTHONY MILLKAMP | — | 1013077643 |
| JOSE TORRES-FRATICELLI | — | 1326108960 |
| JULIE WOOD | — | 1982764429 |
| BARBARA LOVATO | — | 1821158452 |
| SANDRA USHMAN | — | 1851451389 |
| JASON FITZGERALD | — | 1932269412 |
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.