Dr. Nichole G Wallace
MD | Child Abuse Pediatrics | Female
Dr. Nichole G Wallace, MD is a Aurora, Colorado based Pediatric doctor with medical specialization in
Child Abuse Pediatrics. Dr. Nichole G Wallace is also known as
Suzanne Nichole Green.
Current practice location of Dr. Nichole G Wallace is
13123 E 16th Ave, B390, Aurora, Colorado - 80045-7106. She can be contacted on phone at
303-864-5250.
Dr. Nichole G Wallace is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Nichole G Wallace is
1497729909 which was assigned by NPPES on 14 Feb, 2006 and it was last updated on 09 Dec, 2014.
Dr. Nichole G Wallace license number is
DR0054149 for Pediatrics Child Abuse Pediatrics (2080C0008X) in Colorado.
Dr. Nichole G Wallace serves as a resource to children, families and communities by accurately diagnosing abuse; consulting with community agencies on child safety; providing expertise in courts of law; treating consequences of abuse and neglect; directing child abuse and neglect prevention programs and participating on multidisciplinary teams investigating; and managing child abuse cases.
Complete Profile:
Dr. Nichole G Wallace basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Child Abuse Pediatrics |
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| Provider Name : | Dr. Nichole G Wallace |
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| Other Name : | Suzanne Nichole Green |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Nichole G Wallace address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 13123 E 16th Ave, B390
Aurora, CO, 80045-7106
United States |
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| Phone Number : | 303-864-5250 |
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Professional Identification Codes:
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 : | 1497729909 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 14 Feb, 2006 |
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| Last Updated On : | 09 Dec, 2014 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Nichole G Wallace are as mentioned. Primary taxonomy code for Dr. Nichole G Wallace, MD is
2080C0008X (Pediatrics Child Abuse Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080C0008X | Pediatrics Child Abuse Pediatrics | Yes | DR0054149 | CO |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Nichole G Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 200020480B | MEDICAID | OK | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 110429
Aurora, CO, 80042-0429
United States |
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| Phone Number : | 303-493-7000 |
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Business Location:
Patients can refer following map for directions to
Dr. Nichole G Wallace practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.