Maureen Patricia Wallace, R.D.

Registered Dietitian · Dunedin, FL

Individual Active NPI

NPI number 1790722015

Practice location

753 Virginia St
Dunedin, FL 34698-6615
Phone
(727) 734-6888
Fax
(727) 734-6898

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NPI record

NPI
1790722015
Entity type
Individual (Type 1)
Enumeration date
June 2, 2006
Last updated
August 6, 2010
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Dietitian Primary 133V00000X ND4693 FL

Mailing address

PO Box 1698
Clearwater, FL 33757-1698
Phone
(727) 532-0002

About Maureen Wallace

Maureen Patricia Wallace, R.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Dietitian (code 133V00000X). The practice location is 753 Virginia St, Dunedin, FL 34698-6615. The NPI number 1790722015 was assigned on June 2, 2006 and the record was last updated on August 6, 2010.

Maureen Wallace lists a license in the registry: #ND4693 (FL) for Registered Dietitian. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Maureen Patricia Wallace, R.D.?

The NPI number is 1790722015.

What is the phone number of Maureen Wallace?

The phone number listed for the practice location is (727) 734-6888.

Where is Maureen Wallace located?

753 Virginia St, Dunedin, FL 34698-6615.

What is the taxonomy code for Maureen Wallace?

The primary taxonomy code is 133V00000X – Registered Dietitian.

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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