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Felicia Marie Wallace, FNP-BC
Family Nurse Practitioner in Southfield, Michigan
NPI 1154692523

Felicia Marie Wallace is a Family Nurse Practitioner based in Southfield, MI and is specialized in Family. Felicia Marie Wallace practices in Southfield, MI and has the professional credentials of FNP-BC. The NPI Number for Felicia Marie Wallace is 1154692523 and holds a License No. 4704238067 (Michigan).

The current practice location address for Felicia Marie Wallace is 16001 West 9 Mile Road, Southfield, MI and can be reached out via phone at 248-849-2528.

Location: 16001 West 9 Mile Road, Southfield, MI, 48075
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154692523
Provider Name
Felicia Marie Wallace
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
16001 West 9 Mile Road, Southfield, MI, 48075
Phone Number
248-849-2528
Fax Number
Provider Enumeration Date
01/18/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
16001 West 9 Mile Road
City
Southfield
State
Michigan
Zip
48075
Phone Number
248-849-2528
Fax Number
person
Provider Business Mailing Address Details
Address
16001 West 9 Mile Road
City
Southfield
State
Michigan
Zip
48075
Phone Number
248-849-2528
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
4704238067 (Michigan)
Definition
Definition to come...
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