BETTY RAY WALLACE
NPI 1073039897
Driver in Virginia Beach, VA
About Betty Ray Wallace NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BETTY RAY WALLACE (NPI 1073039897) is an individual driver provider in Virginia Beach, Virginia and active in the NPI registry since August 2017.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Betty Ray Wallace's NPI number?
The NPI number for Betty Ray Wallace is 1073039897. It was assigned to this individual provider in the NPPES registry on August 15, 2017.
Where is Betty Ray Wallace located?
Betty Ray Wallace practices at 401 Putnam Rd, Virginia Beach, VA 23462. The listed phone number is (757) 323-9485.
What is Betty Ray Wallace's specialty?
The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.
When was this NPI record last updated?
The NPPES record for Betty Ray Wallace was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Betty Ray Wallace · NPI 1073039897
Driver provider in Virginia Beach, Virginia. Individual provider, active in the CMS NPPES registry since August 15, 2017.
## Identity
- **NPI:** 1073039897 (Entity type: Individual)
- **Enumerated:** August 15, 2017
- **Primary specialty:** Driver · taxonomy 172A00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 401 PUTNAM RD, Virginia Beach, VA 23462-3146
- **Phone:** (757) 323-9485
## Record status
- **NPPES last updated:** July 21, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1073039897) · Data from the CMS NPPES public registry.