DEBORAH WALLACE
NPI 1235526633
Licensed Practical Nurse in Bethesda, MD

Active since April 23, 2015
6040 SOUTHPORT DR, BETHESDA, MD 20814(301) 493-4200 Get Directions Write a Review

NPPES record last updated: April 23, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Deborah Wallace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEBORAH WALLACE (NPI 1235526633) is an individual licensed practical nurse in Bethesda, Maryland, licensed in New York (LP28371) and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1235526633
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameDEBORAH WALLACE
Location Address6040 SOUTHPORT DRBethesda, MD 20814-1848
Mailing Address6040 Southport DrBethesda, MD 20814-1848 · (301) 493-4200
Sole ProprietorNo
Enumeration DateApril 23, 2015
NPI 1235526633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NY · LP28371
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

6040 SOUTHPORT DR, Bethesda, MD 20814

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
6040 SOUTHPORT DR
BETHESDA, MD 20814
Nurse Practitioner (Psychiatric/Mental Health)
6040 SOUTHPORT DR
BETHESDA, MD 20814
Social Worker (Clinical)
6040 SOUTHPORT DR
BETHESDA, MD 20814
Psychiatry & Neurology (Psychiatry)
6040 SOUTHPORT DR
BETHESDA, MD 20814
Registered Nurse
6040 SOUTHPORT DR
BETHESDA, MD 20814
Licensed Practical Nurse
6040 SOUTHPORT DR
BETHESDA, MD 20814
Social Worker
6040 SOUTHPORT DR
BETHESDA, MD 20814
Social Worker
6040 SOUTHPORT DR
BETHESDA, MD 20814

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 Deborah Wallace's NPI number?

The NPI number for Deborah Wallace is 1235526633. It was assigned to this individual provider in the NPPES registry on April 23, 2015.

Where is Deborah Wallace located?

Deborah Wallace practices at 6040 Southport Dr, Bethesda, MD 20814. The listed phone number is (301) 493-4200.

What is Deborah Wallace's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Deborah Wallace was last updated on April 23, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.