Individual provider · Type 1 NPI

Talia Nicole Wallace, FNP-C

Family Nurse Practitioner · Chesapeake, VA

NPI number 1063937753 Active

Practice location

300 Medical Pkwy Ste 314
Chesapeake, VA 23320-4985

Call (757) 312-6195 Map

Fax (757) 937-0998

Mailing address

667 Kingsborough Sq Ste 101
Chesapeake, VA 23320-4999

Other practice locations

  • 10215 Fernwood Rd Ste 100, Bethesda, MD 20817-1183 · (301) 493-4440

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAC002032 (MD)

Family Nurse Practitioner: Definition to come...

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About NPI 1063937753

Talia Nicole Wallace, FNP-C's National Provider Identifier is 1063937753, issued on Aug 3, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chesapeake, VA. The record was last updated on Jul 30, 2024.