Individual provider · Type 1 NPI
Danielle Marie Wallace
Family Nurse Practitioner · Glen Burnie, MD
NPI number
1750108890
Active
Practice location
6720 Ritchie Hwy Ste F
Glen Burnie, MD 21061-2892
Mailing address
338 Jennings Rd
Severna Park, MD 21146-1802
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R268707 (MD) |
Family Nurse Practitioner: Definition to come...
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About NPI 1750108890
Danielle Marie Wallace's National Provider Identifier is 1750108890, issued on Sep 20, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Glen Burnie, MD. The record was last updated on Sep 20, 2024.