IndividualActive
Matthew Wallace
NPI 1265390389 · Home Health Registered Nurse · Washington, DC
Provider details
- NPI number
- 1265390389
- Entity type
- Individual
- Primary specialty
- Home Health Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- NA (DC)
Specialties & taxonomies
Nursing Service Providers
- Personal Care Attendant3747P1801X
Nursing Service Related Providers
Practice location
4778 S Capitol Ter Sw Unit a
Washington, DC 20032-2739
Phone: (202) 422-6987
Approximate (ZIP-level) locationGet directions
Mailing address
4778 S Capitol Ter Sw Unit a
Washington, DC 20032-2739
Registry dates
- Enumerated
- 2026-01-15
- Last updated
- 2026-03-20
- Certified
- 2026-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.