Individual provider · Type 1 NPI
Victoria Anne Wallace, ANP
Family Nurse Practitioner · Fairbanks, AK
NPI number
1295769859
Active
Practice location
1931 Eagan Ave, Fairbanks Correctional Center
Fairbanks, AK 99701-5703
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 713 (AK) |
Family Nurse Practitioner: Definition to come...
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About NPI 1295769859
Victoria Anne Wallace, ANP's National Provider Identifier is 1295769859, issued on Jul 10, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fairbanks, AK. The record was last updated on Mar 7, 2023.