Individual
ANN XAVIER WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPC APRN BC
Contact information
Practice address
71 WALNUT ST, FOXBORO, MA 02035
(781) 341-1149
Mailing address
586 PLAIN ST, STOUGHTON, MA 02072
(781) 341-1149
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
122528
MA
363LG0600X
Gerontology Nurse Practitioner
Primary
122528
MA
Other
Enumeration date
10/03/2006
Last updated
09/11/2025
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