Individual provider · Type 1 NPI

Anabel Rafaela Disla Wallace, NP

Family Nurse Practitioner · Philadelphia, PA

NPI number 1487447231 Active

Practice location

6431 Sackett St
Philadelphia, PA 19149

Fax (267) 297-3950

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XSP032861 (PA)

Family Nurse Practitioner: Definition to come...

10 other providers at this address

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About NPI 1487447231

Anabel Rafaela Disla Wallace, NP's National Provider Identifier is 1487447231, issued on May 26, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 29, 2025.