Individual provider · Type 1 NPI

Angela M. Wallace, NP

Critical Care Neonatal Nurse Practitioner · Fort Belvoir, VA

NPI number 1073584652 Active

Practice location

9300 Dewitt Loop Dept Of
Fort Belvoir, VA 22060-5285

Specialties and licenses

TaxonomyCodeLicense
Critical Care Neonatal Nurse Practitioner Primary 363LN0005X0024093871 (VA)

Critical Care Neonatal Nurse Practitioner: Definition to come...

3 other providers at this address

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About NPI 1073584652

Angela M. Wallace, NP's National Provider Identifier is 1073584652, issued on Jan 31, 2006. The primary taxonomy on file is Critical Care Neonatal Nurse Practitioner (363LN0005X), and the practice location is in Fort Belvoir, VA. The record was last updated on Feb 28, 2018.