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

Marlene T Wallace, RN, FNP-C

Individual provider Family Nurse Practitioner · NPI 1780665521

Marlene T Wallace, RN, FNP-C is a Family Nurse Practitioner in Waxhaw, North Carolina. Licensed in North Carolina. Registered with an NPI since 2005.

Licensed in
NC
In the registry since
2005
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

1142 N Broome St
Waxhaw, NC 28173-9378
Phone: (704) 843-4680
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 201319 (NC)

Record details

NPI number1780665521
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , FNP-C
Sole proprietorNo
NPI enumeratedNovember 9, 2005
Last updated in NPPESJune 16, 2009

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