Felicia Marie Wallace, FNP-BC
NPI #1154692523 in Southfield, Michigan
Provider Information
- NPI Number
- 1154692523
- Entity Type
- Individual
- Name
- Felicia Marie Wallace, FNP-BC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP-BC
- Enumeration Date
- Jan 18, 2012
- Last Updated
- Feb 27, 2014
Practice Location
- Address
- 16001 WEST 9 MILE ROAD
- City
- Southfield
- State
- Michigan
- ZIP Code
- 48075
- Phone
- (248) 849-2528
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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