Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. PAULA M. WALLACE, P.A.
ActiveMS. PAULA M. WALLACE, P.A. is a Surgical Physician Assistant healthcare provider located in MONROE, Louisiana. NPI 1689698490 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · MONROE, LA
Registration Details
- NPI Number
- 1689698490
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 26, 2006 (20.043904626594 yrs)
- Last Updated
- Jan 13, 2026
- License
-
P.A.A10590.RX (LA)
Practice Information
- Address
-
312 GRAMMONT ST STE 401MONROE, LA, 712017403Browse LA providers · Browse ZIP 71201
- Phone
- 3189661809
- Fax
- 3189661810
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in MONROE, LA
| Name | Credential | NPI |
|---|---|---|
| JOSEPH ROGER FANDAL | PA | 1851768139 |
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.