Search › Louisiana › 363LF0000X
Brandy Wallace
NPI 1770113441 · on the registry since 2020
Practice
- Address
- 6823 Saint Charles Ave Bldg 92
New Orleans, LA 70118 - Phone
- (504) 865-5255
- Organisation at this address
- Tulane University Campus Health
Tulane University Student Health CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 16
Additional practice sites
- 41 County Road 127, Quitman, MS
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LF0000X
- Licence states on file
- MS, LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-10-12
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 Louisiana