Individual provider · Type 1 NPI
Brittany Bayne Wallace, CPNP
Pediatric Nurse Practitioner · Glastonbury, CT
NPI number
1134992829
Active
Practice location
290 Western Blvd
Glastonbury, CT 06033-1236
Mailing address
187 E Chippens Hill Rd
Burlington, CT 06013-2111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN2361529 (MA) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 14871 (CT) |
Pediatric Nurse Practitioner: Definition to come...
8 other providers at this address
- Jessica Weyman Tutolo, MDPediatrics Physician Glastonbury, CT NPI 1811381726
- Joy E. Hong, MDPediatrics Physician Glastonbury, CT NPI 1669484630
- Julie Macneil, MDPediatrics Physician Glastonbury, CT NPI 1659766483
- Julie Peterson, M.S., R.D.Registered Dietitian Glastonbury, CT NPI 1598138588
- McKenna Tierney, DOPediatrics Physician Glastonbury, CT NPI 1023758752
- Patricia Bouwer, RN, MS, FNPFamily Nurse Practitioner Glastonbury, CT NPI 1285891051
- Steven L. Craig, MDPediatrics Physician Glastonbury, CT NPI 1730190737
- Susan ParkerFamily Nurse Practitioner Glastonbury, CT NPI 1265814719
Other pediatric nurse practitioner providers in Glastonbury
About NPI 1134992829
Brittany Bayne Wallace, CPNP's National Provider Identifier is 1134992829, issued on Nov 3, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Glastonbury, CT. The record was last updated on Feb 6, 2026.