Debra R. Wallace, NP
Nurse Practitioner · Panorama City, CA
UnclaimedNPNPI 1164570065
- Primary taxonomy
- 363L00000X
- Enumerated
- 2007-01-08
- Practice location
- Panorama City, CA
- Last NPPES update
- 2021-11-30
State licenses
- CA · Nurse practitioner · NPPES self-reportedListed on NPI record
“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.