Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEMETRIA WALLACE, RN
Active Sole ProprietorDEMETRIA WALLACE, RN is a Case Manager healthcare provider located in GRAND PRAIRIE, Texas. NPI 1710344635 is currently active in the NPPES registry. Verify at CMS.
Case Manager · GRAND PRAIRIE, TX
Registration Details
- NPI Number
- 1710344635
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 22, 2016 (10.569381972673 yrs)
- Last Updated
- Jan 22, 2016
- Sole Proprietor
- Yes
Practice Information
- Address
-
2635 VILLA DI LAGO UNIT 4GRAND PRAIRIE, TX, 750546630Browse TX providers · Browse ZIP 75054
- Phone
- 8663868404
- Primary Specialty
-
Case Manager
171M00000X
Other Case Manager Providers in GRAND PRAIRIE, TX
| Name | Credential | NPI |
|---|---|---|
| MRS. HANNAH O. AMAEFULA | — | 1730302555 |
| MRS. REGINA CHANELLE SMITH | RN | 1821319559 |
| NIKIA MOUTON | LMSW | 1598163115 |
| KENISHA ROTIBI | — | 1679029136 |
| RACHEL ROBERTS | — | 1568094415 |
| CHRISTIAN BROWN | — | 1679149058 |
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.