Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ZANDRA WYNETTE WALLACE
Active Sole ProprietorZANDRA WYNETTE WALLACE is a Emotionally Disturbed Children Residential Treatment healthcare provider located in TAMPA, Florida. NPI 1053063412 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · TAMPA, FL
Registration Details
- NPI Number
- 1053063412
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 26, 2022 (4.5814039067184 yrs)
- Last Updated
- Jan 26, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
20316 NATURES CORNER DRTAMPA, FL, 336473580Browse FL providers · Browse ZIP 33647
- Phone
- 8135758108
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
Other Emotionally Disturbed Children Residential Treatment Providers in TAMPA, FL
| Name | Credential | NPI |
|---|---|---|
| ANNE MARIE HERARD | — | 1154661213 |
| MS. MICHELINE LYNCEE | — | 1427487511 |
| DORA MARIA MEJIA | IN HOME SUPPORT | 1316437221 |
| LAKECIA CAMPBELL | — | 1518584713 |
| MS. TWANDA GANO | — | 1467020875 |
| MICHELLE MARQUEZ | — | 1053064378 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.