Individual provider · Type 1 NPI

Marisa I. Wallace, DNP, FNP-BC

Family Nurse Practitioner · New York, NY

NPI number 1144248162 Active

Practice location

423 E 23rd St
New York, NY 10010-5011

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF334712-1 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1144248162

Marisa I. Wallace, DNP, FNP-BC's National Provider Identifier is 1144248162, issued on Jul 17, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New York, NY. The record was last updated on Sep 1, 2010.