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Search › Michigan › 363LF0000X

Felicia Wallace, FNP-BC

NPI 1154692523 · on the registry since 2012

Practice

Address
16001 West 9 Mile Road
Southfield, MI 48075
Phone
(248) 849-2528
Organisation at this address
Aleppo Pllc
St John Health
Psj Anesthesia Pc
Providence Hospital
Providence Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
487

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-02-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan