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

Donna C Wallace, PNP

Individual provider Pediatric Nurse Practitioner · NPI 1346236122

Donna C Wallace, PNP is a Pediatric Nurse Practitioner in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2005.

Licensed in
AZ
In the registry since
2005
What do these letters mean?
PNP — Pediatric Nurse Practitioner
A nurse practitioner specialising in children.

See every abbreviation used in this directory →

Practice location Address checks out

2910 N 3rd Ave
Phoenix, AZ 85013-4434
Phone: (602) 406-3632
Fax: (602) 406-6126
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 RN041572 (AZ)

Record details

NPI number1346236122
Entity typeIndividual (Type 1)
GenderFemale
Credentials PNP
Sole proprietorNo
NPI enumeratedSeptember 27, 2005
Last updated in NPPESSeptember 3, 2014

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