La Tanya Wallace, FNP is a psychiatric/mental health nurse practitioner in San Diego, CA with 12 years of experience. La Tanya Wallace, FNP NPI is 1841453487. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: WESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED
Graduation Year:2012
The provider's business location address is:
6921 SPERRY CT
SAN DIEGO, CA
ZIP 92111-030
Phone: (858) 717-0164
Fax: (888) 425-0508
The NPI 1841453487 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 7/3/2008 and was last updated on 1/28/2024.