Individual provider · Type 1 NPI

Paige Marie Wallace

Acute Care Nurse Practitioner · Fort Worth, TX

NPI number 1326686403 Active

Practice location

1301 Pennsylvania Ave
Fort Worth, TX 76104-2122

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XAP143787 (TX)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1326686403

Paige Marie Wallace's National Provider Identifier is 1326686403, issued on Dec 19, 2019. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Fort Worth, TX. The record was last updated on Dec 19, 2019.