Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RAFAELLA IZAR WALLACE, ANP
ActiveRAFAELLA IZAR WALLACE, ANP is a Gerontological Nurse Practitioner healthcare provider located in FORT WORTH, Texas. NPI 1821469107 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · FORT WORTH, TX
Registration Details
- NPI Number
- 1821469107
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 13, 2015 (10.836036026678 yrs)
- Last Updated
- Dec 1, 2021
- Licenses
-
AP129253 (TX)AP129253 (TX)
Practice Information
- Address
-
500 S HENDERSON ST STE 200FORT WORTH, TX, 761042154Browse TX providers · Browse ZIP 76104
- Phone
- 8174131500
- Fax
- 8174131499
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
- Additional Specialty
- Adult Health Nurse Practitioner
Other Gerontological Nurse Practitioner Providers in FORT WORTH, TX
| Name | Credential | NPI |
|---|---|---|
| BARBARA L HARTY | GNP | 1184688053 |
| MS. VIRGINIA L MILOUD | GNP | 1174569735 |
| MS. ODDETH ROOT | MSN, RN-BC, NP | 1215945522 |
| PENNY MARIE BROOKOVER | GNP | 1316010507 |
| KIMBERLY POSEY | ANP-C | 1326261223 |
| JAYSON PORTER HOPPE | NP | 1366888919 |
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.