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

Mrs. Tracee Marie Wallace, PA-C

Individual provider Surgical Physician Assistant · NPI 1811128010

Mrs. Tracee Marie Wallace, PA-C is a Surgical Physician Assistant in Washington, District of Columbia. Licensed in District of Columbia. Registered with an NPI since 2009.

Licensed in
DC
In the registry since
2009
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

5255 Loughboro Rd NW
Washington, DC 20016-2633
Phone: (202) 537-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA031280 (DC)

Record details

NPI number1811128010
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 5, 2009
Last updated in NPPESMay 1, 2023
Certification dateMay 1, 2023

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