Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Erin Nicole Wallace, PA-C

Individual provider Physician Assistant · NPI 1962263814

Erin Nicole Wallace, PA-C is a Physician Assistant in Boston, Massachusetts. Works from 2 locations. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

725 Albany St Ste 3A Shapiro Bldg
Boston, MA 02118
Phone: (617) 414-8052
Fax: (617) 638-8053
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 41 Mall Rd, Burlington, MA 01805-0001 — (781) 744-8000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA100226 (MA)

Record details

NPI number1962263814
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 18, 2024
Last updated in NPPESFebruary 20, 2026
Certification dateFebruary 20, 2026

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