MS. ANGELA M WALLACE


Address: 9300 Dewitt Loop Dept Of, Ft Belvoir, VA 22060-5285
Phone: 5712311015

MS. ANGELA M WALLACE (NPI# 1073584652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073584652
Entity Type Individual
Full Name MS. ANGELA M WALLACE
Other Name MS. ANGELA R MASSEY
Credential NP
Practice Address 9300 Dewitt Loop Dept Of
Ft Belvoir
VA 22060-5285
Mailing Address 9300 Dewitt Loop Dept Of
Fort Belvoir
VA 22060-5285
Practice Telephone 5712311015
Mailing Telephone 5712311015
Enumeration Date 2006-01-31
Last Update Date 2018-02-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LN0005X Nurse Practitioner
Specialization: Neonatal, Critical Care
0024093871 VA Physician Assistants & Advanced Practice Nursing Providers

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1255510848 Angela Darlene Wallace Anesthesiology 36000 Darnall Loop, Fort Hood, TX 76544-5095 2007-10-31
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Office Location

Street Address 9300 DEWITT LOOP DEPT OF
City FT BELVOIR
State VA
Zip Code 22060-5285

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649610494 Cody Dickson Anesthesiology 9300 Dewitt Loop Dept Of, Ft Belvoir, VA 22060-5285 2013-06-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447780317 Elizabeth Joy Bier Family Medicine Fort Belvoir Community Hospital 9300 Dewitt Loop, Fort Belvoir, VA 22060 2017-06-14
1518413723 Meredith Rae Cuddy Social Worker 9300 Dewitt Loop, Rivers Pavillion, 2nd Floor, Room R2.403, Fort Belvoir, VA 22060 2016-08-28
1760804041 Edward Burke Nurse Anesthetist, Certified Registered 9300 Dewitt Loop, Sunrise Pavilion, 3rd Flr, Rm 218, Fort Belvoir Community Hospital, Fort Belvoir, VA 22060 2014-01-06
1972940450 Deepa Ramanathan Elion Clinical Neuropsychologist 5908 9th Street, Building 1259, Intrepid Sprit One, Nicoe, Fort Belvoir, VA 22060 2013-05-24
1861837643 Usv Optical Inc. Eyewear Supplier (Equipment, not the service) 8651 John J Kingman, Building 2321, Fort Belvoir, VA 22060 2013-05-07
1609150820 Brittany Rodriguez Physical Therapist 9300 Belvoir Rd, Fort Belvoir, VA 22060 2011-10-06
1457657983 Jacob Macgregor Nurse Anesthetist, Certified Registered 9300 Dewit Loop, Fort Belvoir Community Hospital, Fort Belvoir, VA 22060 2011-02-01
1518291442 Stacie Erin Thomas Speech-Language Pathologist 5980 9th Street, Intrepid Pavillion, Fort Belvoir, VA 22060 2009-09-24
1033347125 David Michael Hanrahan Psychiatry & Neurology 5980 9th Street Building #1259, Fort Belvoir Intrepid Pavillion, Fort Belvoir, VA 22060 2009-06-26
1649459777 Central Care Inc Military Hospital 9501 Farrell Rd Bldg 805, Dewitt Health Care Center, Ft Belvoir, VA 22060 2007-10-25
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Taxonomy Information

Taxonomy Code 363LN0005X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Neonatal, Critical Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1174949507 Karen Root Nurse Practitioner 1215 Lee St Fl 7, Charlottesville, VA 22908-0816 2014-03-10
1417191826 Kimberly Donlon Nurse Practitioner 13702 Beechwood Point Rd, Midlothian, VA 23112-2529 2009-04-29
1437368420 Marnie Smith Longest Nurse Practitioner 4819 Coleman Rd, Richmond, VA 23230-2505 2007-05-22
1235155227 Cynthia Schieck Nurse Practitioner 13124 Lauren Ln, Midlothian, VA 23114-3160 2006-07-14
1174122535 Kristen Marie Atkins Nurse Practitioner 601 Childrens Ln, Norfolk, VA 23507-1971 2020-10-18
1760091052 Sarah Putnam Curry Nurse Practitioner 1215 Lee St, Charlottesville, VA 22908-0816 2020-07-23
1609492727 Kathryn Baker Moore Nurse Practitioner 1906 Belleview Ave Se, Roanoke, VA 24014-1838 2020-06-24
1467098574 Blair Conrad Driver Nurse Practitioner 601 Childrens Ln, Norfolk, VA 23507-1971 2019-11-24
1467003483 Veronica Cory Nurse Practitioner 601 Childrens Ln, Norfolk, VA 23507-1910 2019-09-20
1427606714 Kierstin Hays Nurse Practitioner 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2019-08-29
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Competitor

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City FT BELVOIR
Zip Code 22060

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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