Mary Michelle Wallace is a Phoenix, Arizona based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Mary Michelle Wallace is RN030118 for Psych/Mental Health in Arizona. Her current practice location is 444 N 44th St, #200, Phoenix. Patients can reach her at 602-685-3846 or can fax her at 602-685-3808. Mary Michelle Wallace is N.P. with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1417176546. Mary Michelle Wallace provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Mary Michelle Wallace speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1417176546
NPI Enumeration Date:
25 Apr, 2007
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary Michelle Wallace are as mentioned below.
License Number
Specialization
State
Status
RN030118
Psych/Mental Health
Arizona
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mary Michelle Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
637184
Medicaid
Arizona
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mary Michelle Wallace 444 N 44th St, #200 Phoenix, Arizona
Zip:
85008-7624
Phone Number:
602-685-3846
Fax Number:
602-685-3808
Patients can reach Mary Michelle Wallace at 444 N 44th St, #200, Phoenix, Arizona or can call to book an appointment on 602-685-3846.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.