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Shawn Marie Wallace, CRNP
Acute Care Nurse Practitioner in Flourtown, Pennsylvania
NPI 1518430875

Shawn Marie Wallace is an Acute Care Nurse Practitioner based in Flourtown, PA and is specialized in Acute Care. Shawn Marie Wallace practices in Flourtown, PA and has the professional credentials of CRNP. The NPI Number for Shawn Marie Wallace is 1518430875 and holds a License No. R235002 (Pennsylvania).

The current practice location address for Shawn Marie Wallace is 110 W Wissahickon Ave, Flourtown, PA and can be reached out via phone at 215-248-7804.

Location: 110 W Wissahickon Ave, Flourtown, PA, 19031-1898
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518430875
Provider Name
Shawn Marie Wallace
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
110 W Wissahickon Ave, Flourtown, PA, 19031-1898
Phone Number
215-248-7804
Fax Number
Provider Enumeration Date
01/09/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
110 W Wissahickon Ave
City
Flourtown
State
Pennsylvania
Zip
19031-1898
Phone Number
215-248-7804
Fax Number
person
Provider Business Mailing Address Details
Address
110 W Wissahickon Ave
City
Flourtown
State
Pennsylvania
Zip
19031-1898
Phone Number
215-248-7804
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
NJDCATEMP-006243 (New Jersey)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
R235002 (Maryland)
Definition
Definition to come...
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