Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. DEBRA ANN WALLACE
Active Sole ProprietorNurse's Aide · TAMPA, FL
Registration Details
- NPI Number
- 1912149188
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 2, 2009 (17.05482646086 yrs)
- Last Updated
- Apr 2, 2009
- Licenses
-
684206296 (FL)684206296 (FL)CNA 54979 (FL)684206296 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5608 KENNY DRTAMPA, FL, 336177711Browse FL providers · Browse ZIP 33617
- Phone
- 8135464884
- Fax
- 8139831860
- Primary Specialty
-
Nurse's Aide
376K00000X
- Additional Specialty
- Foot & Ankle Surgery
- Additional Specialty
- Nurse's Aide
- Additional Specialty
- Adult Companion
Other Nurse's Aide Providers in TAMPA, FL
| Name | Credential | NPI |
|---|---|---|
| MS. ILKA ACOSTA | — | 1750403457 |
| MS. LATANJA FLANNEL | — | 1235429143 |
| SELENA JIMMIEKO COBB | CNA | 1225318157 |
| MR. JIMMY LEE EAVES | PERSONAL CARE | 1417233743 |
| LUISA SHEPHARD | — | 1376957514 |
| ANGELA DENISE ALLEN | — | 1386044261 |
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.