Joetta Deswarte Wallce, NP

Nurse Practitioner · Long Beach, CA

Individual Active NPI

NPI number 1417258294

Practice location

2653 Elm Ave
Suite 200
Long Beach, CA 90806-1652
Phone
(562) 728-5000
Fax
(562) 595-5296

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NPI record

NPI
1417258294
Entity type
Individual (Type 1)
Enumeration date
November 9, 2010
Last updated
November 9, 2010
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 15928 CA
Registered Nurse 163W00000X 244499 CA
Clinical Nurse Specialist 364S00000X 787 CA

Mailing address

6430 W Sunset Blvd
Suite 600
Los Angeles, CA 90028-7900
Phone
(323) 361-2337
Fax
(323) 361-8491

About Joetta Wallce

Joetta Deswarte Wallce, NP is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 2653 Elm Ave, Suite 200, Long Beach, CA 90806-1652. The NPI number 1417258294 was assigned on November 9, 2010 and the record was last updated on November 9, 2010.

Joetta Wallce lists 3 licenses in the registry: #15928 (CA) for Nurse Practitioner; #244499 (CA) for Registered Nurse; #787 (CA) for Clinical Nurse Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Joetta Deswarte Wallce, NP?

The NPI number is 1417258294.

What is the phone number of Joetta Wallce?

The phone number listed for the practice location is (562) 728-5000.

Where is Joetta Wallce located?

2653 Elm Ave, Suite 200, Long Beach, CA 90806-1652.

What is the taxonomy code for Joetta Wallce?

The primary taxonomy code is 363L00000X – Nurse Practitioner; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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