IndividualActive
Alona Wallace, APRN
NPI 1093460412 · Pediatric Nurse Practitioner · Englewood, FL
Provider details
- NPI number
- 1093460412
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- 11018027 (FL)
Practice location
900 Pine St Unit 216-217
Englewood, FL 34223-4418
Phone: (941) 474-5093
Mailing address
1078 Eisenhower Dr
Nokomis, FL 34275-4411
Registry dates
- Enumerated
- 2022-02-14
- Last updated
- 2022-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.