Individual provider · Type 1 NPI
Dustin W. Wallace, CRNP
Nurse Practitioner · Birmingham, AL
Practice location
833 Princeton Ave SW, Pob Iii; Suite 200A
Birmingham, AL 35211-1323
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 1-133041 (AL) |
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 1275906158
Dustin W. Wallace, CRNP's National Provider Identifier is 1275906158, issued on Nov 2, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Birmingham, AL. The record was last updated on Nov 2, 2015.