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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARISSA LEANNE WALLACE, NP

Active Sole Proprietor

MARISSA LEANNE WALLACE, NP is a Adult Health Nurse Practitioner healthcare provider located in NEW WINDSOR, New York. NPI 1689932360 is currently active in the NPPES registry. Verify at CMS.

Adult Health Nurse Practitioner · NEW WINDSOR, NY

Registration Details

NPI Number
1689932360
Provider Type
Individual
Gender
Female
NPI Issued
May 1, 2012 (14.300842969243 yrs)
Last Updated
Jul 21, 2022
Licenses
653689-1 (NY)
F308236 (NY)
Sole Proprietor
Yes

Practice Information

Address
3078 ROUTE 9W STE 100
NEW WINDSOR, NY, 125536751
Browse NY providers · Browse ZIP 12553
Phone
8455613310
Fax
8455618728
Primary Specialty
Adult Health Nurse Practitioner
363LA2200X

Other Adult Health Nurse Practitioner Providers in NEW WINDSOR, NY

Name Credential NPI
SABRINA N STENT NP 1023272762
CYNTHIA MAGGIO-SILVERMAN ANP 1164672127
LAURA WOODS NP-C 1811203045
MRS. PATRICIA ANN RAINALDI ANP 1083902902
MS. KAY KEISE NP-C 1508122508
MS. NANCY B MATTONE NP 1558950907
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.