Individual provider · Type 1 NPI
Andrea Nicole Wallace, FNP
Family Nurse Practitioner · Charlotte, NC
NPI number
1417455809
Active
Practice location
14214 Ballantyne Lake Rd, Ste 100
Charlotte, NC 28277-3372
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice locations
- 10210 Couloak Dr, Ste E, Charlotte, NC 28216-7679 · (704) 801-2000
- 5717 Albemarle Rd, Charlotte, NC 28212-1634 · (704) 563-2150
- 5727 Prosperity Crossing Dr, Ste 1100, Charlotte, NC 28269-2206 · (704) 863-9930
- 7810 Providence Rd, Ste 102, Charlotte, NC 28226-2954 · (704) 543-6636
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 5010264 (NC) |
| Family Nurse Practitioner Primary | 363LF0000X | 5010264 (NC) |
Family Nurse Practitioner: Definition to come...
52 other providers at this address
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- Carolinas Physicians Network IncFamily Medicine Physician Charlotte, NC NPI 1437168937
- Providence PediatricsPediatrics Physician Charlotte, NC NPI 1326078072
- Airely Gene Friedel, PAPhysician Assistant Charlotte, NC NPI 1477705317
- Alan J. Reid, PAPhysician Assistant Charlotte, NC NPI 1952336612
- Alicia Marie Pielow Krol, PAPhysician Assistant Charlotte, NC NPI 1184683062
- Anne K. Gessner, NPNurse Practitioner Charlotte, NC NPI 1972527752
- Brian John Devlin, PAPhysician Assistant Charlotte, NC NPI 1376909325
- Catherine R. Rainbow, MDSports Medicine (Family Medicine) Physician Charlotte, NC NPI 1598970840
- Charletta ArmstrongPediatrics Physician Charlotte, NC NPI 1730104811
Other family nurse practitioner providers in Charlotte
- Anna Philbeck Burgess, FNPFamily Nurse Practitioner Charlotte, NC NPI 1003265943
- Stephanie Dawn Ferlic, FNPFamily Nurse Practitioner Charlotte, NC NPI 1003409277
- Brooke Alyssa Davis, FNPFamily Nurse Practitioner Charlotte, NC NPI 1003463969
- Marcie Lynne Pickett, ANPFamily Nurse Practitioner Charlotte, NC NPI 1003854860
- Elizabeth Oludayo Wilson-Durham, FNPFamily Nurse Practitioner Charlotte, NC NPI 1003932971
- Paula Jeanette Lastoria, FNPFamily Nurse Practitioner Charlotte, NC NPI 1013164979
- Trisha Wooten, FNPFamily Nurse Practitioner Charlotte, NC NPI 1013342310
- Myisha Burkett, FNPFamily Nurse Practitioner Charlotte, NC NPI 1013465434
About NPI 1417455809
Andrea Nicole Wallace, FNP's National Provider Identifier is 1417455809, issued on Jan 31, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Charlotte, NC. The record was last updated on Jul 15, 2024.