person
Donna C Wallace, PNP
Pediatric Nurse Practitioner in Phoenix, Arizona
NPI 1346236122

Donna C Wallace is a Pediatric Nurse Practitioner based in Phoenix, AZ and is specialized in Pediatrics. Donna C Wallace practices in Phoenix, AZ and has the professional credentials of PNP. The NPI Number for Donna C Wallace is 1346236122 and holds a License No. RN041572 (Arizona).

The current practice location address for Donna C Wallace is 2910 N 3Rd Ave, Phoenix, AZ and can be reached out via phone at 602-406-3632 and via fax at 602-406-6126.

Location: 2910 N 3Rd Ave, Phoenix, AZ, 85013-4434
person
Provider Profile Details
NPI Number
1346236122
Provider Name
Donna C Wallace
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
2910 N 3Rd Ave, Phoenix, AZ, 85013-4434
Phone Number
602-406-3632
Fax Number
602-406-6126
Provider Enumeration Date
09/27/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2910 N 3Rd Ave
City
State
Zip
85013-4434
Phone Number
602-406-3632
Fax Number
602-406-6126
person
Provider Business Mailing Address Details
Address
2910 N 3Rd Ave
City
State
Zip
85013-4434
Phone Number
602-406-3632
Fax Number
602-406-6126
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
RN041572 (Arizona)
Definition
Definition to come...
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