MS. Angela M Wallace, NP
NPI #1073584652 in Ft Belvoir, Virginia
Provider Information
- NPI Number
- 1073584652
- Entity Type
- Individual
- Name
- MS. Angela M Wallace, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Neonatal, Critical Care
- Credential
- NP
- Enumeration Date
- Jan 31, 2006
- Last Updated
- Feb 28, 2018
Practice Location
- Address
- 9300 DEWITT LOOP DEPT OF
- City
- Ft Belvoir
- State
- Virginia
- ZIP Code
- 22060-5285
- Phone
- (571) 231-1015
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Neonatal, Critical Care — Neonatal, Critical Care |
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