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

Carrie Esther Wallace, PA

Individual provider Physician Assistant · NPI 1851614739

Carrie Esther Wallace, PA is a Physician Assistant in Grand Forks, North Dakota. Licensed in North Dakota. Registered with an NPI since 2010.

Licensed in
ND
In the registry since
2010
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1000 S Columbia Rd
Grand Forks, ND 58201-4032
Phone: (701) 780-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 995 (ND)

Record details

NPI number1851614739
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 8, 2010
Last updated in NPPESMarch 8, 2010

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