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Ms. Angela M Wallace

Nurse Practitioner - Neonatal (Critical Care)

9300 Dewitt Loop Dept Of
Ft Belvoir , Virginia 22060-5285

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Ms. Angela M Wallace

Nurse Practitioner - Neonatal (Critical Care)

9300 Dewitt Loop Dept Of
Ft Belvoir , Virginia 22060-5285

(571) 231-1015

Write a Review Save Call

Ms. Angela M Wallace

Nurse Practitioner - Neonatal (Critical Care)

9300 Dewitt Loop Dept Of
Ft Belvoir , Virginia 22060-5285

(571) 231-1015 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Nurse Practitioner - Neonatal (Critical Care)

Languages spoken

  • English

Location

9300 Dewitt Loop Dept Of Ft Belvoir , Virginia 22060-5285

First Address

  • Ms. Angela M Wallace
  • 9300 Dewitt Loop Dept Of
  • Fort Belvoir, VA
  • Zip : 22060-5285
  • Phone : (571) 231-1015

Second Address

  • Ms. Angela M Wallace
  • 9300 Dewitt Loop Dept Of
  • Ft Belvoir, VA
  • Zip : 22060-5285
  • Phone : (571) 231-1015

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FAQs


Where did Ms. Angela M Wallace attend graduate school?

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Where did Ms. Angela M Wallace do her residency?

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Where did Ms. Angela M Wallace do her fellowship?

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Is Ms. Angela M Wallace board certified?

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What type of doctor is Ms. Angela M Wallace

Nurse Practitioner - Neonatal (Critical Care)

In what state does Ms. Angela M Wallace practice in?

Virginia

Where is Ms. Angela M Wallace ’s practice located?

9300 Dewitt Loop Dept Of , Ft Belvoir, Virginia, 22060-5285

What is Ms. Angela M Wallace ’s gender?

Female

Is Ms. Angela M Wallace a sole practitioner?

No

Is Ms. Angela M Wallace accepting new patients?

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What languages does Ms. Angela M Wallace speak?

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Does Ms. Angela M Wallace accept insurance?

Yes, Ms. Angela M Wallace accepts insurance

Does Ms. Angela M Wallace offers telemedicine?

Ms. Angela M Wallace has not indicated if she offers telemedicine

What is Ms. Angela M Wallace ’s professional license number?

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What is Ms. Angela M Wallace ’s NPI number?

1073584652

Does Ms. Angela M Wallace have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 363LN0005X Nurse Practitioner - Neonatal (Critical Care) 0024093871 VA

National Provider Identifier

NPI 1073584652
Provider Name Ms. Angela M Wallace
First Address Fort Belvoir, VA 22060-5285
Second Address Ft Belvoir, VA 22060-5285
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 31/01/2006
Last Update Date 28/02/2018

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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