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Ms. Angela M Wallace, NP
Critical Care Neonatal Nurse Practitioner in Ft Belvoir, Virginia
NPI 1073584652

Angela M Wallace is a Critical Care Neonatal Nurse Practitioner based in Fort Belvoir, VA and is specialized in Neonatal, Critical Care. Angela M Wallace practices in Ft Belvoir, VA and has the professional credentials of NP. The NPI Number for Angela M Wallace is 1073584652 and holds a License No. 0024093871 (Virginia).

The current practice location address for Angela M Wallace is 9300 Dewitt Loop Dept Of, Ft Belvoir, VA and can be reached out via phone at 571-231-1015.

Location: 9300 Dewitt Loop Dept Of, Ft Belvoir, VA, 22060-5285
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073584652
Provider Name
Angela M Wallace
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
9300 Dewitt Loop Dept Of, Ft Belvoir, VA, 22060-5285
Phone Number
571-231-1015
Fax Number
Provider Enumeration Date
01/31/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
9300 Dewitt Loop Dept Of
City
Ft Belvoir
State
Virginia
Zip
22060-5285
Phone Number
571-231-1015
Fax Number
person
Provider Business Mailing Address Details
Address
9300 Dewitt Loop Dept Of
City
Ft Belvoir
State
Virginia
Zip
22060-5285
Phone Number
571-231-1015
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal, Critical Care
Taxonomy
363LN0005X
License No.
0024093871 (Virginia)
Definition
Definition to come...
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