Donna M Wallace is a Family Nurse Practitioner based in Bridgeport, CT and is specialized in Family. Donna M Wallace practices in Bridgeport, CT and has the professional credentials of ARPN. The NPI Number for Donna M Wallace is 1154577047 and holds a License No. 003840 (Connecticut).
The current practice location address for Donna M Wallace is 46 Albion St, Bridgeport, CT and can be reached out via phone at 203-330-6000 and via fax at 203-330-6007.
Identifier | Type | State | Issuer |
---|---|---|---|
003840 | 01 | CT | STATE LICENSE 003840 |
004236130 | 05 | CT |
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