Mr. Matthew Evan Wallace, NP - San Diego, CA

Mr. Matthew Evan Wallace, NP

Nurse Practitioner in San Diego, California

NPI 1881177806

Matthew Evan Wallace is a Nurse Practitioner based in San Diego, CA. Matthew Evan Wallace practices in San Diego, CA and has the professional credentials of NP. The NPI Number for Matthew Evan Wallace is 1881177806 and holds a License No. NP95010225 (California).

The current practice location address for Matthew Evan Wallace is 200 W Arbor Dr, San Diego, CA and can be reached out via phone at 619-306-5855.

Location: 200 W Arbor Dr, San Diego, CA, 92193-2410

NPI Number

1881177806

Provider Name

Matthew Evan Wallace

Credential

Provider Entity Type

Individual

Gender

Male

Address

200 W Arbor Dr, San Diego, CA, 92193-2410

Phone Number

619-306-5855

Fax Number

Provider Enumeration Date

09/14/2018

Last Update Date

03/10/2024

Address

200 W Arbor Dr

City

San Diego

State

California

Zip

92103-9000

Phone Number

619-306-5855

Fax Number

Address

200 W Arbor Dr

City

San Diego

State

California

Zip

92103-9000

Phone Number

619-306-5855

Fax Number

Type

Physician Assistants & Advanced Practice Nursing Providers

Classification

Nurse Practitioner

Speciality

Taxonomy

363L00000X

License No.

NP95010225 (California)

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.

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