Individual
MRS. ANNA WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4755 OGLETOWN STANTON RD, NEWARK, DE 19718-2200
(302) 733-1000
Mailing address
1303 CLIFFORD RD, WILMINGTON, DE 19805-1313
(302) 893-0762
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
LP-0010494
DE
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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