Debra R Wallace, NP
Debra R Wallace, NP is a Nurse Practitioner in Panorama City, California. Qualified in 1992, 34 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 34
- Licensed in
- CA
- In the registry since
- 2007
What do these letters mean?
- NP — Nurse Practitioner
- An advanced practice nurse who can diagnose, treat and in most states prescribe.
Practice location Address checks out
13652 Cantara StPanorama City, CA 91402-5423
Phone: (818) 375-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 006248 (CA) |
|---|
Record details
| NPI number | 1164570065 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NP |
| Sole proprietor | No |
| NPI enumerated | January 8, 2007 |
| Last updated in NPPES | November 30, 2021 |
| Mailing address | 13652 Cantara St, Panorama City, CA 91402-5423 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 1992 (34 years in practice) |
| Group practice | Southern California Permanente Medical Group — 11242 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Panorama City
-
MS. Essele D. Thomas-Miller, NP
8120 Woodman Ave, Panorama City, CA 91402 · (818) 362-8959
-
Gloria S Tongson, NP
13652 Cantara St, Panorama City, CA 91402-5423 · (818) 375-2000
-
Juliette Trompetto, NP
13652 Cantara St, Panorama City, CA 91402-5423 · (818) 375-2000
-
Carole S Vincelli, NP
13652 Cantara St, Panorama City, CA 91402-5423 · (818) 375-2000
-
Tina J Woolfork, NP
13652 Cantara St, Panorama City, CA 91402-5423 · (818) 375-2000