Individual provider · Type 1 NPI

Vicki Wallace, NP

Acute Care Nurse Practitioner · Fredericksburg, VA

NPI number 1689640195 Active

Practice location

1101 Sam Perry Blvd.,, Suite 211
Fredericksburg, VA 22401

Call (540) 372-7792 Map

Mailing address

1101 Sam Perry Blvd, Suite 211
Fredericksburg, VA 22401

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XRN67063 (DC)
Acute Care Nurse Practitioner Primary 363LA2100X0024166526 (VA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1689640195

Vicki Wallace, NP's National Provider Identifier is 1689640195, issued on Feb 24, 2006. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Fredericksburg, VA. The record was last updated on Feb 1, 2017.