Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MADELINE WALLACE, PA-C
ActivePhysician Assistant · EVANS, CO
Registration Details
- NPI Number
- 1649854456
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 7, 2021 (4.9552366647821 yrs)
- Last Updated
- Jun 29, 2021
- License
-
6761 (CO)
Practice Information
- Address
-
2930 11TH AVEEVANS, CO, 806201011Browse CO providers · Browse ZIP 80620
- Phone
- 9703539403
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in EVANS, CO
| Name | Credential | NPI |
|---|---|---|
| THOMAS LEE DICKEY | PA-C | 1740287598 |
| SANDRA GAYLE HOYMAN | PA-C | 1356349013 |
| GLEE FRANCES GILE | PA-C | 1497793061 |
| MRS. CHERILYN A JACOBSON | P.A. | 1962650069 |
| HARLAN DAVID | PA-C | 1457632689 |
| FELICIA MARIE DOHERTY | PA-C | 1003248279 |
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.