Amanda D. Wallace, NP
Family NP · Brandon, FL
UnclaimedNPNPI 1275104796
- Primary taxonomy
- 363LF0000X
- Enumerated
- 2021-07-06
- Practice location
- Brandon, FL
- Last NPPES update
- 2022-06-30
State licenses
- FL · 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.