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MISS CARRIE LEIGH WALLACE FNP
NPI 1265648596
Nurse Practitioner - Family in Orange, CA

Active since May 15, 2007
455 S MAIN ST, ORANGE, CA 92868(714) 289-4934 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miss Carrie Leigh Wallace Fnp NPPES

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

MISS CARRIE LEIGH WALLACE FNP (NPI 1265648596) is an individual family provider in Orange, California, licensed in California (13730) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1265648596
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMISS CARRIE LEIGH WALLACECredential: FNP
Location Address455 S MAIN STOrange, CA 92868-3835
Mailing Address19001 Fairhaven ExtSanta Ana, CA 92705-1359 · (714) 633-8187
Phone(714) 289-4934
Sole ProprietorYes
Enumeration DateMay 15, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1265648596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 13730
455 S MAIN ST, Orange, CA 92868
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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.

PEDIATRIC SUBSPECIALTY FACULTY, INC.
Surgery (Pediatric Surgery)
455 S MAIN ST, GENERAL SURGERY
ORANGE, CA 92868
Orange County (714) 364-4050
PEI LIN CHANG M.D.
Pediatrics
455 S MAIN ST
ORANGE, CA 92868
Orange County (714) 558-2462
JENNIFER MICHELLE SHIVELY N.P.
Nurse Practitioner (Pediatrics, Critical Care)
455 S MAIN ST
ORANGE, CA 92868
Orange County (714) 204-3277
ANTOINE SOLIMAN M.D.
Pediatrics (Neonatal-Perinatal Medicine)
455 S MAIN ST
ORANGE, CA 92868
Orange County (714) 289-4511
DR. JEFFREY H HO D.O.
Pediatrics (Pediatric Gastroenterology)
455 S MAIN ST
ORANGE, CA 92868
Orange County (714) 289-4099
DR. MARITA FORTADES MD
Pediatrics
455 S MAIN ST
ORANGE, CA 92868
Orange County (714) 532-8767
DR. SHARON KIM MD
Psychiatry & Neurology (Neurology)
455 S MAIN ST
ORANGE, CA 92868
Orange County (714) 532-7601
MS. NANCY ANN VARNI CPNP
Nurse Practitioner (Pediatrics)
455 S MAIN ST
ORANGE, CA 92868
Orange County (714) 532-8634

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 Carrie Wallace's NPI number?

The NPI number for Carrie Wallace is 1265648596. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is Carrie Wallace located?

Carrie Wallace practices at 455 S Main St, Orange, CA 92868. The listed phone number is (714) 289-4934.

What is Carrie Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Carrie Wallace was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.