STACY WALLACE, NP
Nurse Practitioner - Pediatrics
Active
Individual
NPI: 1205843422
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Pediatrics | 363LP0200X | Yes | 624860 (TX) |
Frequently Asked Questions
NPI 1205843422 is the National Provider Identifier for STACY WALLACE, NP, a Nurse Practitioner - Pediatrics provider located in San Antonio, TX. This NPI was enumerated on August 1, 2006.
STACY WALLACE, NP practices at 1702 N ALAMO ST, SUITE 220, San Antonio, TX 78215.
Quick Facts
- NPI
- 1205843422
- Type
- Individual
- Enumerated
- Aug 1, 2006
- Last Updated
- Jan 27, 2010
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