Debra R Wallace is a Panorama City, California based nurse practitioner with 32 years of experience in . She completed her graduation in 1992. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Debra R Wallace is 006248 in California. Her current practice location is 13652 Cantara St, Panorama City. Patients can reach her at 818-375-2000. Debra R Wallace is NP and her NPI number (Unique professional ID assigned by NPPES) is 1164570065. Debra R Wallace has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Debra R Wallace speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Debra R Wallace
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
NP
Experience:
32+ years
Medical School Attended:
Other
Graduation Year:
1992
Accepts Medicare Assignment:
Yes
Practice Address:
13652 Cantara St, Panorama City, California, 91402-5423
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
1355534041
Enrollment ID:
I20101026001365
NPI Number:
1164570065
NPI Enumeration Date:
08 Jan, 2007
NPI Last Update On:
30 Nov, 2021
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Debra R Wallace are as mentioned below.
License Number
Specialization
State
Status
006248
California
Primary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Debra R Wallace is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Southern California Permanente Medical Group (6002729175)
7677
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Debra R Wallace 13652 Cantara St, Panorama City, California
Zip:
91402-5423
Phone Number:
818-375-2000
Patients can reach Debra R Wallace at 13652 Cantara St, Panorama City, California or can call to book an appointment on 818-375-2000.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.