Individual provider · Type 1 NPI

Donna M. Wallace, ARPN

Family Nurse Practitioner · Bridgeport, CT

NPI number 1154577047 Active

Practice location

46 Albion St
Bridgeport, CT 06605-2602

Fax (203) 330-6007

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X003840 (CT)

Family Nurse Practitioner: Definition to come...

74 other providers at this address

Other family nurse practitioner providers in Bridgeport

See all in Bridgeport →

About NPI 1154577047

Donna M. Wallace, ARPN's National Provider Identifier is 1154577047, issued on Aug 12, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bridgeport, CT. The record was last updated on Aug 22, 2014.