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MRS. VICTORIA ANNE WALLACE ANP
NPI 1295769859
Nurse Practitioner - Family in Fairbanks, AK

Active since July 10, 2006
1931 EAGAN AVE, FAIRBANKS CORRECTIONAL CENTER, FAIRBANKS, AK 99701(907) 458-6700 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Victoria Anne Wallace Anp NPPES

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

MRS. VICTORIA ANNE WALLACE ANP (NPI 1295769859) is an individual family provider in Fairbanks, Alaska, licensed in Alaska (713) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1295769859
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. VICTORIA ANNE WALLACECredential: ANP
Location Address1931 EAGAN AVE, FAIRBANKS CORRECTIONAL CENTERFairbanks, AK 99701-5703
Mailing Address1931 Eagan Ave, Fairbanks Correctional CenterFairbanks, AK 99701-5703 · (907) 458-6700
Phone(907) 458-6700
Sole ProprietorNo
Enumeration DateJuly 10, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1295769859 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 AK · 713
1931 EAGAN AVE, Fairbanks, AK 99701
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Other Identifiers 2

MedicaidNP0254AK
MedicaidNP02541AK

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 Victoria Wallace's NPI number?

The NPI number for Victoria Wallace is 1295769859. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Victoria Wallace located?

Victoria Wallace practices at 1931 Eagan Ave Fairbanks Correctional Center, Fairbanks, AK 99701. The listed phone number is (907) 458-6700.

What is Victoria 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 Victoria Wallace was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.