MARLENE WALLACE, RN, FNP-C

Nurse Practitioner - Family

Active Individual
NPI: 1780665521

Practice Address

1142 N BROOME ST
Waxhaw, NC 28173

Phone: (704) 843-4680

Specialties

Specialty Code Primary License
Nurse Practitioner - Family 363LF0000X Yes 201319 (NC)

Frequently Asked Questions

NPI 1780665521 is the National Provider Identifier for MARLENE WALLACE, RN, FNP-C, a Nurse Practitioner - Family provider located in Waxhaw, NC. This NPI was enumerated on November 9, 2005.
MARLENE WALLACE, RN, FNP-C practices at 1142 N BROOME ST, Waxhaw, NC 28173.

Quick Facts

NPI
1780665521
Type
Individual
Enumerated
Nov 9, 2005
Last Updated
Jun 16, 2009

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