Individual
HEATHER MARIE WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
333 W CORK ST UNIT 405, WINCHESTER, VA 22601-3876
(540) 313-9200
(540) 686-7287
Mailing address
333 W CORK ST UNIT 405, WINCHESTER, VA 22601-3876
(540) 313-9266
(540) 301-5466
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024174206
VA
Other
Enumeration date
11/04/2016
Last updated
04/02/2025
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