IndividualActive
Angela Wallace, NP
NPI 1073584652 · Critical Care Neonatal Nurse Practitioner · Ft Belvoir, VA
Provider details
- NPI number
- 1073584652
- Entity type
- Individual
- Primary specialty
- Critical Care Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 0024093871 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
9300 Dewitt Loop Dept of
Ft Belvoir, VA 22060-5285
Phone: (571) 231-1015
Approximate (ZIP-level) locationGet directions
Mailing address
9300 Dewitt Loop Dept of
Fort Belvoir, VA 22060-5285
Registry dates
- Enumerated
- 2006-01-31
- Last updated
- 2018-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.