Individual
MRS. ANGIE MARIE WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
45 ROADSIDE AVE FRNT, WAYNESBORO, PA 17268-2543
(717) 387-8060
(717) 387-8061
Mailing address
22 ST PAUL DR STE 200, CHAMBERSBURG, PA 17201-1033
(717) 709-7922
(717) 263-2055
Taxonomy
Speciality
Code
Description
License number
State
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
SP009803
PA
Other
Enumeration date
07/02/2008
Last updated
09/11/2017
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