Individual provider · Type 1 NPI
Angela Cecile Wallace
Acute Care Nurse Practitioner · Lubbock, TX
NPI number
1235043464
Active
Practice location
4614 9th St
Lubbock, TX 79416-4720
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 1243676 (TX) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1235043464
Angela Cecile Wallace's National Provider Identifier is 1235043464, issued on Oct 2, 2026. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Lubbock, TX. The record was last updated on Oct 2, 2026.