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
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
Phone(717) 387-8060
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.
Clinic/Center (Federally Qualified Health Center (FQHC))
45 ROADSIDE AVE FRNT
WAYNESBORO, PA 17268
WAYNESBORO, PA 17268
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881856615, enumerated as an "individual" on July 02, 2008.
The provider is located at 45 ROADSIDE AVE FRNT WAYNESBORO, PA 17268 and the phone number is (717) 387-8060.
Clinical Nurse Specialist with taxonomy code 364SP0200X and a focus in Pediatrics.
