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

Dr. Eva Alicja Wallace, DNP

Individual provider Family Nurse Practitioner · NPI 1962928283

Dr. Eva Alicja Wallace, DNP is a Nurse Practitioner in Bridgeport, Connecticut. Qualified in 2017, 9 years ago. Practices with Northeast Medical Group Inc, a 1,360-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
9
Licensed in
CT
In the registry since
2017
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

267 Grant St
Bridgeport, CT 06610-2805
Phone: (203) 384-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 7128 (CT)

Record details

NPI number1962928283
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP
Sole proprietorNo
NPI enumeratedAugust 17, 2017
Last updated in NPPESAugust 17, 2017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Northeast Medical Group Inc — 1360 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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