Donna M. Wallace, ARPN
Family NP · Bridgeport, CT
UnclaimedARPNNPI 1154577047
- Primary taxonomy
- 363LF0000X
- Enumerated
- 2008-08-12
- Practice location
- Bridgeport, CT
- Last NPPES update
- 2014-08-22
State licenses
- CT · Nurse practitioner · NPPES self-reportedListed on NPI record
- CT · Registered nurse · Registered NurseExpiredthrough 2005
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.