RANDY WALLACE, NP

Nurse Practitioner

Active Individual
NPI: 1750688743

Practice Address

300 PASTEUR DR
Stanford, CA 94305

Phone: (650) 723-4000

Specialties

Specialty Code Primary License
Nurse Practitioner - Adult Health 363LA2200X No 95001748 (CA)
Nurse Practitioner 363L00000X Yes 95001748 (CA)

Frequently Asked Questions

NPI 1750688743 is the National Provider Identifier for RANDY WALLACE, NP, a Nurse Practitioner provider located in Stanford, CA. This NPI was enumerated on February 28, 2011.
RANDY WALLACE, NP practices at 300 PASTEUR DR, Stanford, CA 94305.

Quick Facts

NPI
1750688743
Type
Individual
Enumerated
Feb 28, 2011
Last Updated
Dec 30, 2025

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