VALERIE WALLACE, NURSE PRACTITIONER

Nurse Practitioner - Family

Active Individual
NPI: 1902375512

Practice Address

1900 BAYSIDE DR
Chester, MD 21619

Phone: (410) 490-9498

Specialties

Specialty Code Primary License
Nurse Practitioner - Family 363LF0000X Yes R192586 (MD)
Family Medicine 207Q00000X No R192586 (MD)

Frequently Asked Questions

NPI 1902375512 is the National Provider Identifier for VALERIE WALLACE, NURSE PRACTITIONER, a Nurse Practitioner - Family provider located in Chester, MD. This NPI was enumerated on November 13, 2018.
VALERIE WALLACE, NURSE PRACTITIONER practices at 1900 BAYSIDE DR, Chester, MD 21619.

Quick Facts

NPI
1902375512
Type
Individual
Enumerated
Nov 13, 2018
Last Updated
Jan 26, 2026

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