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

Mrs. Debra Ann Wallace, FNP

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1770006538

Mrs. Debra Ann Wallace, FNP is a Plastic and Reconstructive Surgery Physician in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2017
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

1100 N State Street Clinic Tower A6A231A
Los Angeles, CA 90033
Phone: (323) 409-7788
Fax: (323) 441-7298
Show map & directions

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

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 8326 (CA)

Record details

NPI number1770006538
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedJuly 24, 2017
Last updated in NPPESJune 16, 2018

Other providers in Los Angeles