IndividualActive
Aminah Wallace, NP
NPI 1790677912 · Acute Care Nurse Practitioner · Antioch, CA
Provider details
- NPI number
- 1790677912
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 95032514 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2648 Carson Way
Antioch, CA 94531-8270
Phone: (619) 534-5998
Approximate (ZIP-level) locationGet directions
Mailing address
2648 Carson Way
Antioch, CA 94531-8270
Registry dates
- Enumerated
- 2025-07-21
- Last updated
- 2025-07-21
- Certified
- 2025-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.