Individual provider · Type 1 NPI
Alona Wallace, APRN
Pediatric Nurse Practitioner · Englewood, FL
NPI number
1093460412
Active
Practice location
900 Pine St Unit 216-217
Englewood, FL 34223-4418
Mailing address
1078 Eisenhower Dr
Nokomis, FL 34275-4411
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics Physician | 208000000X | 11018027 (FL) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 11018027 (FL) |
Pediatric Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1093460412
Alona Wallace, APRN's National Provider Identifier is 1093460412, issued on Feb 14, 2022. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Englewood, FL. The record was last updated on Feb 21, 2022.