Individual provider · Type 1 NPI
Eva Alicja Wallace, DNP
Family Nurse Practitioner · Bridgeport, CT
NPI number
1962928283
Active
Practice location
267 Grant St
Bridgeport, CT 06610-2805
Mailing address
152 Kneen St
Shelton, CT 06484-3935
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 7128 (CT) |
Family Nurse Practitioner: Definition to come...
598 other providers at this address
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Other family nurse practitioner providers in Bridgeport
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- Danielle C. RiveraFamily Nurse Practitioner Bridgeport, CT NPI 1043791478
- Joanna R. Fernandez, APRNFamily Nurse Practitioner Bridgeport, CT NPI 1053675033
- Louis Ernest D'onofrio Jr., DNPFamily Nurse Practitioner Bridgeport, CT NPI 1053711879
- Emily Rachel Mihailescu, APRNFamily Nurse Practitioner Bridgeport, CT NPI 1053970939
About NPI 1962928283
Eva Alicja Wallace, DNP's National Provider Identifier is 1962928283, issued on Aug 17, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bridgeport, CT. The record was last updated on Aug 17, 2017.