Nancy V Wallace NP

NPI 1073613089 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1073613089
Gender Female
Enumeration Date 09/22/2006
Last Updated 08/29/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
517 W GRACE ST
RICHMOND VA, 23220-4911, US
Phone (804) 783-2505
Fax (804) 783-2514
Business Location
517 W GRACE ST
RICHMOND VA, 23220-4911, US
Phone (804) 783-2505
Fax (804) 783-2514
Toxanomy
Taxonomy Code 363LF0000X
License State Virginia
License Number 0024164436
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According to our database, Nancy V Wallace NP NPI is 1073613089, taxonomy code is 363LF0000X and license number is 0024164436, license state is located at Virginia. Nancy V Wallace NP physically located at 517 W Grace St, Richmond VA, 23220-4911. NPI Number Nancy V Wallace NP has the Individual type.

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1073613089 NPI number is provided on an as is basis without warranty of any kind. 1073613089 is maintained by the National Plan & Provider Enumeration System. The contents of Nancy V Wallace NP are for informational purposes only.