| Aminah Wallace, NP | |
|
2648 Carson Way, Antioch, CA 94531-8270 | |
| (619) 534-5998 | |
| Not Available |
| Full Name | Aminah Wallace |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 2648 Carson Way, Antioch, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790677912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 95032514 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Harbor Wound Care P C | 0042704504 | 29 |
| Entity Name | Harbor Wound Care P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427922392 PECOS PAC ID: 0042704504 Enrollment ID: O20251211001582 |
| Mailing Address | Practice Location Address |
|---|---|
| Aminah Wallace, NP 2648 Carson Way, Antioch, CA 94531-8270 Ph: (619) 534-5998 | Aminah Wallace, NP 2648 Carson Way, Antioch, CA 94531-8270 Ph: (619) 534-5998 |
Vuthy Jenkins, DNP, FNP-C, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3707 Sunset Ln, Antioch, CA 94509 Phone: 925-522-0124 |
Flor Berenice Juarez Hernandez, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3505 Lone Tree Way Ste 1, Antioch, CA 94509 Phone: 925-457-4276 |
April Violet Aquino Ancheta, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3707 Sunset Ln, Antioch, CA 94509 Phone: 925-522-0124 Fax: 925-522-0133 |
Roxanne Cara Stiles-donnelly, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3624 Delta Fair Blvd, Antioch, CA 94509 Phone: 925-779-5418 |
Debbie Slack-gay, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1320 Putnam St, Antioch, CA 94509 Phone: 559-903-5655 |
Pamela Di Franco, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3903 Lone Tree Way Ste 104, Antioch, CA 94509 Phone: 925-755-1255 |
Funmilola Umoren, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2435 Kaiser Way, Antioch, CA 94531 Phone: 661-345-2005 |