Individual provider · Type 1 NPI

Camille Anne Wallace, FNP

Family Nurse Practitioner · Woodstock, NY

NPI number 1720829468 Active

Practice location

404 Zena Rd Ste 1
Woodstock, NY 12498-2627

Mailing address

45 Birch St Apt 18K
Kingston, NY 12401-1077

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X354716 (NY)

Family Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1720829468

Camille Anne Wallace, FNP's National Provider Identifier is 1720829468, issued on Jun 5, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Woodstock, NY. The record was last updated on Jul 4, 2024.