person
Marlene T Wallace, RN,FNP-C
Family Nurse Practitioner in Waxhaw, North Carolina
NPI 1780665521

Marlene T Wallace is a Family Nurse Practitioner based in Waxhaw, NC and is specialized in Family. Marlene T Wallace practices in Waxhaw, NC and has the professional credentials of RN,FNP-C. The NPI Number for Marlene T Wallace is 1780665521 and holds a License No. 201319 (North Carolina).

The current practice location address for Marlene T Wallace is 1142 N Broome St, Waxhaw, NC and can be reached out via phone at 704-843-4680.

Location: 1142 N Broome St, Waxhaw, NC, 28173-8202
person
Provider Profile Details
NPI Number
1780665521
Provider Name
Marlene T Wallace
Credential
RN,FNP-C
Provider Entity Type
Individual
Gender
Female
Address
1142 N Broome St, Waxhaw, NC, 28173-8202
Phone Number
704-843-4680
Fax Number
Provider Enumeration Date
11/09/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1142 N Broome St
City
State
Zip
28173-9378
Phone Number
704-843-4680
Fax Number
person
Provider Business Mailing Address Details
Address
1142 N Broome St
City
State
Zip
28173-9378
Phone Number
704-843-4680
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
201319 (North Carolina)
Definition
Definition to come...
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