Wallace, Angela M

Wallace, Angela M is an individual health care provider with primary practice located at 9300 Dewitt Loop Dept Of , Ft Belvoir VA 22060-5285. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, which is considered as her primary health care specialty. Wallace, Angela M can be contacted via phone (571) 231-1015.

Contact Information

Primary practice address
9300 Dewitt Loop Dept Of Ft Belvoir VA 22060-5285
Phone: (571) 231-1015
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 0024093871 Virginia

Profile Details

NPI number 1073584652
LBN Legal business name Wallace, Angela M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Feb 28th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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