Individual provider · Type 1 NPI

Wallis Halperin Wallis, PNP

Pediatric Nurse Practitioner · Laguna Hills, CA

NPI number 1669665576 Active

Practice location

23961 Calle De La Magdalena, Suite 334
Laguna Hills, CA 92653-3616

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X9454 (CA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1669665576

Wallis Halperin Wallis, PNP's National Provider Identifier is 1669665576, issued on Aug 23, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Laguna Hills, CA. The record was last updated on Aug 23, 2007.