Alisha Rose Wallace, RN is a
Registered Nurse - Home Health based in Harrisville, Rhode Island. Alisha Rose Wallace is licensed to practice in Massachusetts (license number RN2314105) and her current practice location is
210 Black Hut Rd, Harrisville, Rhode Island. She can be reached at her office (for appointments etc.) via phone at
(339) 237-2784.
NPI number for Alisha Rose Wallace is 1154156586 and her current mailing address is 210 Black Hut Rd, Harrisville, Rhode Island. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154156586.
Provider's Profile
Full Name | Alisha Rose Wallace |
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Gender | Female |
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Speciality | Registered Nurse - Home Health |
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Location | 210 Black Hut Rd, Harrisville, Rhode Island |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1154156586
- Provider Enumeration Date: 09/05/2024
- Last Update Date: 09/05/2024
Medical Identifiers
Medical identifiers for Alisha Rose Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154156586 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WH0200X | Registered Nurse - Home Health | RN2314105 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alisha Rose Wallace is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Alisha Rose Wallace, RN 210 Black Hut Rd, Harrisville, RI 02830-1240 Ph: (339) 237-2784 | Alisha Rose Wallace, RN 210 Black Hut Rd, Harrisville, RI 02830-1240 Ph: (339) 237-2784 |
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