National Provider Identifier
Saundra Elaine Wallace
Saundra Elaine Wallace is listed in the NPPES registry with a primary specialty of Registered Nurse in Fairport, NY and a listed phone number of (585) 324-9750.
Profile Overview
- NPI
- 1851668305
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- November 29, 2011
- Last Updated
- December 05, 2011
Practice Location
- 41 Oconnor RD
- Fairport, NY 14450-1327
Phone: (585) 324-9750
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1851668305
- Entity Type
- Individual
- Last Name
- Wallace
- First Name
- Saundra
- Middle Name
- Elaine
- Name Prefix
- Mrs.
- Mailing Street Address
- 41 Oconnor RD
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-1327
- Mailing Country
- US
- Mailing Phone
- (585) 324-9750
- Mailing Fax
- (585) 794-5070
- Practice Street Address
- 41 Oconnor RD
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-1327
- Practice Country
- US
- Practice Phone
- (585) 324-9750
- Practice Fax
- (585) 794-5070
- Enumeration Date
- November 29, 2011
- Last Updated
- December 05, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)