Individual provider · Type 1 NPI

Leandra Wallace, NP

Nurse Practitioner · Point Reyes Station, CA

NPI number 1851762553 Active

Practice location

11150 Highway 1
Point Reyes Station, CA 94956-9756

Fax (415) 663-9474

Mailing address

20 Fleetwood Ct
Novato, CA 94947-3751

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95003190 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1851762553

Leandra Wallace, NP's National Provider Identifier is 1851762553, issued on Oct 7, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Point Reyes Station, CA. The record was last updated on Oct 7, 2015.