person
Scott David Wallace, NP
Family Nurse Practitioner in Fairfield, California
NPI 1790442408

Scott David Wallace is a Family Nurse Practitioner based in Fairfield, CA and is specialized in Family. Scott David Wallace practices in Fairfield, CA and has the professional credentials of NP. The NPI Number for Scott David Wallace is 1790442408 and holds a License No. 459083 (California).

The current practice location address for Scott David Wallace is 513 Silverado Cir, Fairfield, CA and can be reached out via phone at 707-864-3240.

Location: 513 Silverado Cir, Fairfield, CA, 94534-6818
person
Provider Profile Details
NPI Number
1790442408
Provider Name
Scott David Wallace
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
513 Silverado Cir, Fairfield, CA, 94534-6818
Phone Number
707-864-3240
Fax Number
Provider Enumeration Date
11/17/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
513 Silverado Cir
City
State
Zip
94534-6818
Phone Number
707-864-3240
Fax Number
person
Provider Business Mailing Address Details
Address
513 Silverado Cir
City
State
Zip
94534-6818
Phone Number
707-864-3240
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
459083 (California)
Definition
Definition to come...
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