Individual provider · Type 1 NPI

Debra R. Wallace, NP

Nurse Practitioner · Panorama City, CA

NPI number 1164570065 Active

Practice location

13652 Cantara St
Panorama City, CA 91402-5423

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X006248 (CA)

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 1164570065

Debra R. Wallace, NP's National Provider Identifier is 1164570065, issued on Jan 8, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Panorama City, CA. The record was last updated on Nov 30, 2021.