Mrs. Chelsea Rose Wallace
Nurse Practitioner
9976 W Emerald St
Boise
, Idaho 83704-9769
Mrs. Chelsea Rose Wallace
Nurse Practitioner
9976 W Emerald St
Boise
, Idaho 83704-9769
(208) 229-3742
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Mrs. Chelsea Rose Wallace
- 9976 W Emerald St
- Boise, ID
- Zip : 83704-9769
- Phone : (208) 229-3742
Second Address
- Mrs. Chelsea Rose Wallace
- 9976 W Emerald St
- Boise, ID
- Zip : 83704-9769
- Phone : (208) 229-3742
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 57758 | ID |
National Provider Identifier
| NPI | 1003414228 |
|---|---|
| Provider Name | Mrs. Chelsea Rose Wallace |
| First Address | Boise, ID 83704-9769 |
| Second Address | Boise, ID 83704-9769 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/10/2020 |
| Last Update Date | 09/10/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.