MRS. Victoria Anne Wallace, ANP

NPI #1295769859 in Fairbanks, Alaska

Provider Information

NPI Number
1295769859
Entity Type
Individual
Name
MRS. Victoria Anne Wallace, ANP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
ANP
Enumeration Date
Jul 10, 2006
Last Updated
Mar 7, 2023

Practice Location

Address
1931 EAGAN AVE
Address 2
FAIRBANKS CORRECTIONAL CENTER
State
Alaska
ZIP Code
99701-5703
Phone
(907) 458-6700

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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