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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DYLAN ELIZABETH WALLACE, FNP

Active

DYLAN ELIZABETH WALLACE, FNP is a Nurse Practitioner healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1316569353 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · PHILADELPHIA, PA

Registration Details

NPI Number
1316569353
Provider Type
Individual
Gender
Female
NPI Issued
May 13, 2020 (6.2589934712155 yrs)
Last Updated
May 13, 2020
License
SP021955 (PA)

Practice Information

Address
3400 SPRUCE ST
PHILADELPHIA, PA, 191044238
Browse PA providers · Browse ZIP 19104
Phone
2156623920
Primary Specialty
Nurse Practitioner
363L00000X

Other Nurse Practitioner Providers in PHILADELPHIA, PA

Name Credential NPI
DEBRA MCGRATH C.R.N.P. 1043213671
BINH LUONG APPLEGATE C.R.N.P. 1063415610
LESTER COHEN C.R.N.P. 1497758965
MS. SARA L. ALLEN CRNP 1063410793
JOANNE HENNING CRNP 1497747109
MRS. CHERYL E JONES CNP 1437145752
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.