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Andrea Wallace, FNP
NPI 1417455809 · on the registry since 2018
Practice
- Address
- 14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277 - Phone
- (704) 667-2650
- Organisation at this address
- Providence Pediatrics
Barnett Family Practice
Carolinas Medical Center
Carolinas Medical Center
Carolinas Physicians Network IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 48
Additional practice sites
- 5717 Albemarle Rd, Charlotte, NC
- 10210 Couloak Dr, Charlotte, NC
- 7810 Providence Rd, Charlotte, NC
- 5727 Prosperity Crossing Dr, Charlotte, NC
Registry record
- Primary taxonomy
- Family Nurse Practitioner
363LF0000X
- Also registered as
- Nurse Practitioner
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-15
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 North Carolina