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

DEREKA WALLACE, RN

Active

DEREKA WALLACE, RN is a Emergency Nurse healthcare provider located in PUYALLUP, Washington. NPI 1346040649 is currently active in the NPPES registry. Verify at CMS.

Emergency Nurse · PUYALLUP, WA

Registration Details

NPI Number
1346040649
Provider Type
Individual
Gender
Female
NPI Issued
Mar 17, 2025 (1.4330680222699 yrs)
Last Updated
Mar 17, 2025
License
61519413 (WA)

Practice Information

Address
401 15TH AVE SE
PUYALLUP, WA, 983723715
Browse WA providers · Browse ZIP 98372
Phone
2536974000
Primary Specialty
Emergency Nurse
163WE0003X

Other Emergency Nurse Providers in PUYALLUP, WA

Name Credential NPI
KAYLA A MCCARTHY 1245791102
MRS. LORI VARNELL RN 1619772431
SIERRA LYNN RAMOS-WOLFE 1104624568
MEGAN LUCKEY RN 1245031715
JENNIFER LYNN HUDSON RN 1730970757
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.