Individual provider · Type 1 NPI
Maria Guadalupe Wallace, NP
Psychiatric/Mental Health Nurse Practitioner · San Antonio, TX
NPI number
1679288294
Active
Practice location
9939 State Highway 151
San Antonio, TX 78251-1900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 1097490 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1679288294
Maria Guadalupe Wallace, NP's National Provider Identifier is 1679288294, issued on Jan 18, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in San Antonio, TX. The record was last updated on Jan 18, 2023.