MS. ANGELA M WALLACE NP NPI 1073584652

NPI Information

  • NPI: 1073584652
  • Provider Name: MS. ANGELA M WALLACE, NP
  • Classification: Nurse Practitioner - 363LN0005X
  • Specialization: Neonatal, Critical Care
  • Entity Type: Individual
  • Address: 9300 DEWITT LOOP DEPT OF
    FT BELVOIR, VA
    ZIP 22060
  • Phone: (571) 231-1015

Map and Directions

Get Directions

NPI Details

MS. Angela M Wallace, NP is a neonatal and critical care nurse practitioner in Ft Belvoir, VA. MS. Angela M Wallace, NP NPI is 1073584652. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9300 DEWITT LOOP DEPT OF
FT BELVOIR, VA
ZIP 22060-285
Phone: (571) 231-1015

The enumeration date for this NPI number is 1/31/2006 and was last updated on 2/28/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LN0005XNurse PractitionerNeonatal, Critical Care0024093871VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.