Individual provider · Type 1 NPI
Tamyra Wallace, FNP
Family Nurse Practitioner · Dallas, TX
NPI number
1952818403
Active
Practice location
8189 Midtown Blvd Apt 12217
Dallas, TX 75231
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | AP135378 (TX) |
| Family Nurse Practitioner | 363LF0000X | AP135378 (TN) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1952818403
Tamyra Wallace, FNP's National Provider Identifier is 1952818403, issued on Jan 5, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Dallas, TX. The record was last updated on Jul 3, 2018.