| Danielle Marie Wallace, | |
|
6720 Ritchie Hwy Ste F, Glen Burnie, MD 21061-2892 | |
| (667) 406-0782 | |
| Not Available |
| Full Name | Danielle Marie Wallace |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 6720 Ritchie Hwy Ste F, Glen Burnie, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750108890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R268707 (Maryland) | Primary |
| Entity Name | Consonant Healing Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588122535 PECOS PAC ID: 1254662695 Enrollment ID: O20191220002103 |
| Entity Name | Healing Partners Plus PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063217545 PECOS PAC ID: 4284155425 Enrollment ID: O20250305001104 |
| Mailing Address | Practice Location Address |
|---|---|
| Danielle Marie Wallace, 338 Jennings Rd, Severna Park, MD 21146-1802 Ph: (410) 913-7927 | Danielle Marie Wallace, 6720 Ritchie Hwy Ste F, Glen Burnie, MD 21061-2892 Ph: (667) 406-0782 |
Ms. Docia Owusu, CRNP-PMH Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7575 E Howard Rd, Glen Burnie, MD 21060 Phone: 410-768-8200 |
Mrs. Theresa Eileen Deveaux, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 Hospital Dr, Glen Burnie, MD 21061 Phone: 410-553-8300 Fax: 410-553-8349 |
Ms. Linda Jean Swallow, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 305 Hospital Dr, 1st Floor, Glen Burnie, MD 21061 Phone: 410-552-8154 Fax: 410-553-8134 |
Mary Bourbon, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 Phone: 410-768-5050 |
Christine Marie Habersaat, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1405 Madison Park Dr Ste 1, Glen Burnie, MD 21061 Phone: 410-582-9434 |
Opemipo Doyin Ogeyingbo, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 464 Norvelle Ct, Glen Burnie, MD 21061 Phone: 301-592-7286 |
Cierra N Vaughters, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 325 Hospital Dr Ste 106, Glen Burnie, MD 21061 Phone: 443-430-2998 |