Rachael Viola Wallace, FNP-BC Valid NPI
Individual provider · Family Nurse Practitioner · Quincy, MA
- NPI
- 1952024598
- Type
- Individual (Type 1)
- Primary specialty
- Family Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LF0000X
- License number
- RN2340400 (MA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2022-09-20
- Last updated
- 2023-11-17
Practice location
479 Washington St Ste 2
Quincy, MA 02169-5895
(857) 529-5220