Individual provider · Type 1 NPI

Laura Wallace, ARNP

Nurse Practitioner · Clearwater, FL

NPI number 1144262197 Active

Practice location

455 Pinellas St, Suite #400
Clearwater, FL 33756-3354

Fax (727) 445-1986

Mailing address

1717 Tall Pine Cir
Safety Harbor, FL 34695-5204

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN2529872 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1144262197

Laura Wallace, ARNP's National Provider Identifier is 1144262197, issued on Jun 12, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Clearwater, FL. The record was last updated on Oct 26, 2012.