Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DONNA C WALLACE, PNP
ActivePediatric Nurse Practitioner · PHOENIX, AZ
Registration Details
- NPI Number
- 1346236122
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 27, 2005 (20.564981420852 yrs)
- Last Updated
- Sep 3, 2014
- License
-
RN041572 (AZ)
Practice Information
- Address
-
2910 N 3RD AVEPHOENIX, AZ, 850134434Browse AZ providers · Browse ZIP 85013
- Phone
- 6024063632
- Fax
- 6024066126
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
Other Pediatric Nurse Practitioner Providers in PHOENIX, AZ
| Name | Credential | NPI |
|---|---|---|
| MS. ELISABET PRIETO | ARNP | 1285630657 |
| MRS. TAHANI PASCUAL MCCLOSKEY | R. N., P.N.P., MSN. | 1922090380 |
| MARY ELIZABETH LAVALLEY | CPNP | 1609862531 |
| MS. DEBORAH ANN JACOBI | PNP | 1134105950 |
| CYNTHIA L LEGRIS | C.P.N.P. | 1285607051 |
| MRS. JUDITH ANN MYERS | CPNP | 1487628137 |
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.