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Search › California › Psychiatric/Mental Health Nurse Practitioner

Lisa Wallace, RN

NPI 1720476641 · on the registry since 2014

Practice

Address
10535 Hospital Way
Mather, CA 95655
Phone
(916) 366-5336
Organisation at this address
Va Nchcs
Va Mather
Martinez Vamc
Martinez Vamc
Nancy J. Wynn-Grundy
Inferred from a shared address, not stated in the registry.
Clinicians at this address
366

Registry record

Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Also registered as
163W00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-11-12

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 California