Felicia Marie Wallace, FNP-BC is a family nurse practitioner in Southfield, MI. Felicia Marie Wallace, FNP-BC NPI is 1154692523. 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:
16001 WEST 9 MILE ROAD
SOUTHFIELD, MI
ZIP 48075
Phone: (248) 849-2528
The NPI 1154692523 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 1/18/2012 and was last updated on 2/27/2014.