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TRACY WALLACE
NPI 1326481755
Registered Nurse - Administrator in Detroit, MI

Active since April 16, 2013
15400 W MCNICHOLS RD, DETROIT, MI 48235(313) 732-8272 Get Directions Write a Review

NPPES record last updated: April 16, 2013. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Tracy Wallace NPPES

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

TRACY WALLACE (NPI 1326481755) is an individual administrator provider in Detroit, Michigan, licensed in Michigan (4704197701) and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1326481755
Entity TypeIndividualFemale
Primary Taxonomy163WA2000X
Provider Legal NameTRACY WALLACE
Location Address15400 W MCNICHOLS RDDetroit, MI 48235-3724
Mailing Address4779 GlendaleDetroit, MI 48238
Phone(313) 732-8272
Sole ProprietorNo
Enumeration DateApril 16, 2013
✔ NPI 1326481755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · AdministratorNursing Service Providers
Taxonomy Code163WA2000X
License✔ Licensed in MI · 4704197701
15400 W MCNICHOLS RD, Detroit, MI 48235
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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.

DETROIT HEALTH CARE FOR THE HOMELESS
Clinic/Center (Dental)
15400 W MCNICHOLS RD
DETROIT, MI 48235
Wayne County (313) 416-6262
DETROIT HEALTH CARE FOR THE HOMELESS
Clinic/Center (Federally Qualified Health Center (FQHC))
15400 W MCNICHOLS RD
DETROIT, MI 48235
Wayne County (313) 835-5990
ROSEMARIE KAURALA MSN CNM
Advanced Practice Midwife
15400 W MCNICHOLS RD
DETROIT, MI 48235
Wayne County (313) 416-6262
ANTHONY WALKER LPN
Licensed Practical Nurse
15400 W MCNICHOLS RD
DETROIT, MI 48235
Wayne County (313) 433-7167
HEBA HAMADEH PHARM.D.
Pharmacist
15400 W MCNICHOLS RD
DETROIT, MI 48235
Wayne County (313) 416-6262
DETROIT HEALTH CARE FOR THE HOMELESS
Pharmacy (Clinic Pharmacy)
15400 W MCNICHOLS RD
DETROIT, MI 48235
Wayne County (313) 835-5990
DETROIT HEALTH CARE FOR THE HOMELESS
Clinic/Center (Federally Qualified Health Center (FQHC))
15400 W MCNICHOLS RD
DETROIT, MI 48235
Wayne County (313) 835-5990
CLIFFORD N OWHOR PA-C
Physician Assistant (Medical)
15400 W MCNICHOLS RD
DETROIT, MI 48235
Wayne County (131) 416-6262

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 Tracy Wallace's NPI number?

The NPI number for Tracy Wallace is 1326481755. It was assigned to this individual provider in the NPPES registry on April 16, 2013.

Where is Tracy Wallace located?

Tracy Wallace practices at 15400 W Mcnichols Rd, Detroit, MI 48235. The listed phone number is (313) 732-8272.

What is Tracy Wallace's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Administrator, with taxonomy code 163WA2000X.

When was this NPI record last updated?

The NPPES record for Tracy Wallace was last updated on April 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.