Deborah Wallace, in Bethesda, MD - Licensed Practical Nurse

Deborah Wallace, is a Licensed Practical Nurse based in Bethesda, Maryland. Deborah Wallace is licensed to practice in New York (license number LP28371) and her current practice location is 6040 Southport Dr, Bethesda, Maryland. She can be reached at her office (for appointments etc.) via phone at (301) 493-4200.

NPI number for Deborah Wallace is 1235526633 and her current mailing address is 6040 Southport Dr, Bethesda, Maryland. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235526633.

Contact Information

	Deborah Wallace,
	6040 Southport Dr, Bethesda, MD 20814-1848
	(301) 493-4200
	Not Available

Map and Direction

Provider's Profile

Full Name	Deborah Wallace
Gender	Female
Speciality	Licensed Practical Nurse
Location	6040 Southport Dr, Bethesda, Maryland
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1235526633
Provider Enumeration Date: 04/23/2015
Last Update Date: 04/23/2015

Medical Identifiers

Medical identifiers for Deborah Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235526633	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
164W00000X	Licensed Practical Nurse	LP28371 (New York)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Deborah Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Deborah Wallace, 6040 Southport Dr, Bethesda, MD 20814-1848 Ph: (301) 493-4200	Deborah Wallace, 6040 Southport Dr, Bethesda, MD 20814-1848 Ph: (301) 493-4200

Reviews and Comments

Licensed Practical Nurse Nurses in Bethesda, MD

Mrs. Jennifer Ekundayo Jackson-bickersteth, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 6040 Southport Dr, Bethesda, MD 20814 Phone: 301-715-3673 Fax: 888-496-8354
Armene S Michel, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 8901 Wisconsin Ave, Bethesda, MD 20889 Phone: 301-295-6672
Darmawai Salley, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 6040 Southport Dr, Bethesda, MD 20814 Phone: 301-493-4200 Fax: 301-493-6209
Latoya Woodroffe, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 6040 Southport Dr, Bethesda, MD 20814 Phone: 301-493-4200 Fax: 301-493-6209
Yvonne Medina, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 6040 Southport Dr, Bethesda, MD 20814 Phone: 301-493-4200 Fax: 301-493-6209

Deborah Wallace, - Licensed Practical Nurse in Bethesda, MD