Individual provider · Type 1 NPI

Matthew Isiah Wallace

Home Health Registered Nurse · Washington, DC

NPI number 1265390389 Active

Practice location

4778 S Capitol Ter SW Unit A
Washington, DC 20032-2739

Call (202) 422-6987 Map

Specialties and licenses

TaxonomyCodeLicense
Home Health Registered Nurse Primary 163WH0200XNA (DC)
Personal Care Attendant 3747P1801XNone listed

Home Health Registered Nurse: Definition to come...

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About NPI 1265390389

Matthew Isiah Wallace's National Provider Identifier is 1265390389, issued on Jan 15, 2026. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Washington, DC. The record was last updated on Mar 20, 2026.