MRS. ANGIE MARIE WALLACE CRNP
NPI 1881856615
Clinical Nurse Specialist - Pediatrics in Waynesboro, PA

Active since July 02, 2008
45 ROADSIDE AVE FRNT, WAYNESBORO, PA 17268(717) 387-8060(717) 387-8061 Get Directions Write a Review

NPPES record last updated: September 11, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Angie Marie Wallace Crnp NPPES

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

MRS. ANGIE MARIE WALLACE CRNP (NPI 1881856615) is an individual pediatrics provider in Waynesboro, Pennsylvania, licensed in Pennsylvania (SP009803) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1881856615
Entity TypeIndividualFemale
Primary Taxonomy364SP0200X
Provider Legal NameMRS. ANGIE MARIE WALLACECredential: CRNP
Location Address45 ROADSIDE AVE FRNTWaynesboro, PA 17268-2543
Mailing Address22 St Paul Dr Ste 200Chambersburg, PA 17201-1033 · (717) 709-7922 · Fax (717) 263-2055
Fax(717) 387-8061
Sole ProprietorNo
Enumeration DateJuly 2, 2008
Last NPPES UpdateSeptember 11, 2017
NPI 1881856615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Nurse Specialist · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0200X
License Licensed in PA · SP009803
45 ROADSIDE AVE FRNT, Waynesboro, PA 17268

Other Names 1

Former Name (1)Miss Angie Marie Borne Crnp

Other Providers at the Same Location NPPES 6

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

Pediatrics
45 ROADSIDE AVE FRNT
WAYNESBORO, PA 17268
Pediatrics
45 ROADSIDE AVE FRNT
WAYNESBORO, PA 17268
Pediatrics
45 ROADSIDE AVE FRNT, WASHING HOSPITAL
WAYNESBORO, PA 17268
Physician Assistant
45 ROADSIDE AVE FRNT
WAYNESBORO, PA 17268
Clinic/Center (Federally Qualified Health Center (FQHC))
45 ROADSIDE AVE FRNT
WAYNESBORO, PA 17268
Pediatrics
45 ROADSIDE AVE FRNT
WAYNESBORO, PA 17268

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 Angie Wallace's NPI number?

The NPI number for Angie Wallace is 1881856615. It was assigned to this individual provider in the NPPES registry on July 2, 2008. The provider is also known as Miss Angie Marie Borne Crnp.

Where is Angie Wallace located?

Angie Wallace practices at 45 Roadside Ave Frnt, Waynesboro, PA 17268. The listed phone number is (717) 387-8060.

What is Angie Wallace's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Pediatrics, with taxonomy code 364SP0200X.

When was this NPI record last updated?

The NPPES record for Angie Wallace was last updated on September 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.