Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACY WALLACE
ActiveTRACY WALLACE is a Advance Practice Midwife healthcare provider located in DETROIT, Michigan. NPI 1326481755 is currently active in the NPPES registry. Verify at CMS.
Advance Practice Midwife · DETROIT, MI
Registration Details
- NPI Number
- 1326481755
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 16, 2013 (13.299241977837 yrs)
- Last Updated
- Apr 16, 2013
- License
-
4704197701 (MI)
Practice Information
- Address
-
15400 W MCNICHOLS RDDETROIT, MI, 482353724Browse MI providers · Browse ZIP 48235
- Phone
- 3137328272
- Primary Specialty
-
Advance Practice Midwife
163WA2000X
Other Advance Practice Midwife Providers in DETROIT, MI
| Name | Credential | NPI |
|---|---|---|
| MRS. EDNA RUTH JACKSON | RN | 1114097870 |
| MS. PATRICIA ANN SOARES | RN | 1386795755 |
| MARJORIE ANITA HARRIS | RN | 1427182252 |
| WILHELMINA KEELING | RN | 1679697650 |
| KATIE BEATRIC RANDOLPH | RN | 1194849943 |
| TRAVELL DENEISE JOHNSON-PETTWAY | RN | 1528792777 |
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.