Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brittany Bayne Wallace, CPNP

Individual provider Pediatric Nurse Practitioner · NPI 1134992829

Brittany Bayne Wallace, CPNP is a Nurse Practitioner in Glastonbury, Connecticut. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Connecticut and Massachusetts.

Years since qualifying
3
Licensed in
CT, MA
In the registry since
2023
Specialties on file
2
What do these letters mean?
CPNP — Certified Pediatric Nurse Practitioner
A nurse practitioner certified in paediatrics.

See every abbreviation used in this directory →

Practice location Address checks out

290 Western Blvd
Glastonbury, CT 06033-1236
Phone: (860) 652-3325
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 14871 (CT)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence RN2361529 (MA)

Record details

NPI number1134992829
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP
Sole proprietorYes
NPI enumeratedNovember 3, 2023
Last updated in NPPESFebruary 6, 2026
Certification dateFebruary 6, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Glastonbury