MRS. MERIT WALLACE MSN APRN FNP-C NPI 1346740578

NPI Information

  • NPI: 1346740578
  • Provider Name: MRS. MERIT WALLACE, MSN, APRN, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10775 PIONEER TRL STE 215
    TRUCKEE, CA
    ZIP 96161
  • Phone: (415) 424-4266

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NPI Details

MRS. Merit Wallace, MSN, APRN, FNP-C is a family nurse practitioner in Truckee, CA. MRS. Merit Wallace, MSN, APRN, FNP-C NPI is 1346740578. 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:

10775 PIONEER TRL STE 215
TRUCKEE, CA
ZIP 96161-234
Phone: (415) 424-4266
Fax: (415) 520-6633

The NPI 1346740578 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 2/14/2018 and was last updated on 7/29/2024.

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
1363LF0000XNurse PractitionerFamilyLG-0012823DELAWARENo
2363LF0000XNurse PractitionerFamilyRN2364003MASSACHUSETTSNo
3363LF0000XNurse PractitionerFamily273273ARIZONANo
4363LF0000XNurse PractitionerFamily95028713CALIFORNIANo
5363LF0000XNurse PractitionerFamilyAC004245MARYLANDNo
6363LF0000XNurse PractitionerFamilyCNP241144MAINENo
7363LF0000XNurse PractitionerFamilyR56197NORTH DAKOTANo
8363LF0000XNurse PractitionerFamily115469NEBRASKANo
9363LF0000XNurse PractitionerFamily9335MINNESOTANo
10363LF0000XNurse PractitionerFamily5016900NORTH CAROLINANo
11363LF0000XNurse PractitionerFamily0024183216VIRGINIANo
12363LF0000XNurse PractitionerFamily087031-23NEW HAMPSHIRENo
13363LF0000XNurse PractitionerFamily202201157NP-PPOREGONNo
14363LF0000XNurse PractitionerFamily1024045TEXASNo
15363LF0000XNurse PractitionerFamilyAPRN9297649FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1023994500MEDICAIDFLORIDA

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

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