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

Madison Wallace

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1891554572

Madison Wallace is a Student in an Organized Health Care Education/Training Program in Boston, Massachusetts. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1 Kneeland St
Boston, MA 02111-1527
Phone: (617) 636-6828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1891554572
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 15, 2024
Last updated in NPPESMarch 15, 2024
Certification dateMarch 15, 2024
Mailing address99 Kneeland St Apt 509, Boston, MA 02111-2436

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