Shawn Marie Wallace, CRNP
NPI #1518430875 in Flourtown, Pennsylvania
Provider Information
- NPI Number
- 1518430875
- Entity Type
- Individual
- Name
- Shawn Marie Wallace, CRNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Acute Care
- Credential
- CRNP
- Enumeration Date
- Jan 9, 2019
- Last Updated
- Aug 6, 2022
Practice Location
- Address
- 110 W WISSAHICKON AVE
- City
- Flourtown
- State
- Pennsylvania
- ZIP Code
- 19031-1898
- Phone
- (215) 248-7804
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Nurse Practitioner - Acute Care — Acute Care |
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