DEANTHIA WALLACE, APRN

Nurse Practitioner - Family

Active Individual
NPI: 1629764907

Practice Address

1545 AIRPORT BLVD # O
Pensacola, FL 32504

Phone: (850) 416-6933

Specialties

Specialty Code Primary License
Nurse Practitioner - Family 363LF0000X Yes 11024974 (FL)

Frequently Asked Questions

NPI 1629764907 is the National Provider Identifier for DEANTHIA WALLACE, APRN, a Nurse Practitioner - Family provider located in Pensacola, FL. This NPI was enumerated on April 11, 2023.
DEANTHIA WALLACE, APRN practices at 1545 AIRPORT BLVD # O, Pensacola, FL 32504.

Quick Facts

NPI
1629764907
Type
Individual
Enumerated
Apr 11, 2023
Last Updated
Jan 17, 2025

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