Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. BRENDA RENEE WALLACE, RN, MSN, ARNP
ActiveWomen's Health Clinical Nurse Specialist · DOVER, FL
Registration Details
- NPI Number
- 1912211681
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 4, 2010 (15.71701357113 yrs)
- Last Updated
- Aug 4, 2010
- License
-
ARNP 9181213 (FL)
Practice Information
- Address
-
1406 ROWANTREE DRDOVER, FL, 335274937Browse FL providers · Browse ZIP 33527
- Phone
- 8507669131
- Fax
- 8136513473
- Primary Specialty
-
Women's Health Clinical Nurse Specialist
364SW0102X
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.