Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY TERESE WALLACE
ActiveMARY TERESE WALLACE is a Registered Dietitian healthcare provider located in PORT ANGELES, Washington. NPI 1982156766 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · PORT ANGELES, WA
Registration Details
- NPI Number
- 1982156766
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 27, 2016 (9.6138978415249 yrs)
- Last Updated
- Apr 11, 2023
- License
-
DI 60685427 (WA)
Practice Information
- Address
-
939 CAROLINE STPORT ANGELES, WA, 983623997Browse WA providers · Browse ZIP 98362
- Phone
- 3604177125
- Fax
- 3604177188
- Primary Specialty
-
Registered Dietitian
133V00000X
Other Registered Dietitian Providers in PORT ANGELES, WA
| Name | Credential | NPI |
|---|---|---|
| AMY SARVER WARD | R.D. | 1780731935 |
| VICTORIA M EVERRETT | RD LD CNSC CDE | 1770775074 |
| MRS. AMANDA E. CASH | R.D. | 1003005919 |
| CHRISTIN THERESE MAKS | RD CDE | 1710271705 |
| BETHANY LEAVITT | DTR, RDN | 1639587926 |
| MR. MICHAEL LESSOR | RDN | 1255869046 |
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.