Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SCOTT DAVID WALLACE, NP
Active Sole ProprietorSCOTT DAVID WALLACE, NP is a Family Nurse Practitioner healthcare provider located in FAIRFIELD, California. NPI 1790442408 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · FAIRFIELD, CA
Registration Details
- NPI Number
- 1790442408
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 17, 2021 (4.5574534519159 yrs)
- Last Updated
- Nov 17, 2021
- License
-
459083 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
513 SILVERADO CIRFAIRFIELD, CA, 945346818Browse CA providers · Browse ZIP 94534
- Phone
- 7078643240
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in FAIRFIELD, CA
| Name | Credential | NPI |
|---|---|---|
| MS. SARAH JANE BOLGER | RNP | 1396736732 |
| MRS. SUSAN DIANE FOSTER | FNP-C | 1891730628 |
| LIDA S WARD | FNP | 1730106675 |
| REBECCA J PEREZ | NP | 1003824186 |
| MISS ANNA MARIE ANTONIO | FNP | 1811087232 |
| MRS. MARGARET CONLEY TADANO | NP | 1437219326 |
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.