Individual
TONIA WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
6751 N SUNSET BLVD STE 320, GLENDALE, AZ 85305-3155
(480) 516-8037
Mailing address
15652 W DURANGO ST, GOODYEAR, AZ 85338-3370
(708) 829-1520
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
270985
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5020892
NC
Other
Enumeration date
02/21/2022
Last updated
11/20/2025
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