Dylan Elizabeth Wallace
FNP | Nurse Practitioner
3400 Spruce St, Philadelphia
Pennsylvania, 19104-4238
215-662-3920
Dylan Elizabeth Wallace is a Philadelphia, Pennsylvania based nurse practitioner. Active license number of Dylan Elizabeth Wallace is SP021955 in Pennsylvania. Her current practice location is 3400 Spruce St, Philadelphia. Patients can reach her at 215-662-3920. Dylan Elizabeth Wallace is FNP and her NPI number (Unique professional ID assigned by NPPES) is 1316569353.
Dylan Elizabeth 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:
Dylan Elizabeth 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: | Dylan Elizabeth Wallace |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | FNP |
| Practice Address: | 3400 Spruce St, Philadelphia,
Pennsylvania, 19104-4238 |
| Phone: | 215-662-3920 |
Professional Identification Codes:
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.
| NPI Number: | 1316569353 |
| NPI Enumeration Date: | 13 May, 2020 |
| NPI Last Update On: | 13 May, 2020 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dylan Elizabeth Wallace are as mentioned below.
| License Number | Specialization | State | Status | |
| SP021955 | | Pennsylvania | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dylan Elizabeth Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| NA | Other | | N/A |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Dylan Elizabeth Wallace
3400 Spruce St,
Philadelphia, Pennsylvania |
| Zip: | 19104-4238 |
Patients can reach Dylan Elizabeth Wallace at
3400 Spruce St, Philadelphia, Pennsylvania or can
call to book an appointment on 215-662-3920.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.