Individual provider · Type 1 NPI
Valerie Elizabeth Wallace, NURSE PRACTITIONER
Family Nurse Practitioner · Chester, MD
NPI number
1902375512
Active
Practice location
1900 Bayside Dr
Chester, MD 21619-2840
Fax (410) 834-0291
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R192586 (MD) |
| Family Medicine Physician | 207Q00000X | R192586 (MD) |
Family Nurse Practitioner: Definition to come...
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About NPI 1902375512
Valerie Elizabeth Wallace, NURSE PRACTITIONER's National Provider Identifier is 1902375512, issued on Nov 13, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chester, MD. The record was last updated on Jan 26, 2026.