Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LA TANYA WALLACE, FNP
ActiveLA TANYA WALLACE, FNP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in SAN DIEGO, California. NPI 1841453487 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · SAN DIEGO, CA
Registration Details
- NPI Number
- 1841453487
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 3, 2008 (18.154674193874 yrs)
- Last Updated
- Jan 28, 2024
- Licenses
-
680663 (CA)22485 (CA)680663 (CA)22485 (CA)22485 (CA)
Practice Information
- Address
-
6921 SPERRY CTSAN DIEGO, CA, 921117030Browse CA providers · Browse ZIP 92111
- Phone
- 8587170164
- Fax
- 8884250508
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Nurse Practitioner
- Additional Specialty
- Family Nurse Practitioner
- Additional Specialty
- Family Nurse Practitioner
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in SAN DIEGO, CA
| Name | Credential | NPI |
|---|---|---|
| MR. STEVEN G HOGAN | NP | 1972506483 |
| DR. MICHAEL JAMES TERRY | DNP, FNP, PMHNP | 1437135159 |
| DEBRA JEANNE GRAHAM | DNP | 1790757623 |
| MARTI E GMINSKI | NP | 1235186289 |
| DARLENE MCMIDDLETON | NP | 1144267642 |
| MS. LAURA SUE GOODWIN | RN, PMHNP | 1689615197 |
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.