Scott David Wallace, NP
Scott David Wallace, NP is a Nurse Practitioner in Fairfield, California. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in California.
- Years since qualifying
- 3
- Licensed in
- CA
- In the registry since
- 2021
What do these letters mean?
- NP — Nurse Practitioner
- An advanced practice nurse who can diagnose, treat and in most states prescribe.
Practice location Address checks out
513 Silverado CirFairfield, CA 94534-6818
Phone: (707) 864-3240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 459083 (CA) |
|---|
Record details
| NPI number | 1790442408 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | NP |
| Sole proprietor | Yes |
| NPI enumerated | November 17, 2021 |
| Last updated in NPPES | November 17, 2021 |
| Certification date | November 17, 2021 |
| Mailing address | 513 Silverado Cir, Fairfield, CA 94534-6818 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
Other providers in Fairfield
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Marielle Rose Terheyden, NP
2700 Low Ct, Fairfield, CA 94534-9715 · (707) 688-6251
-
Tracy Toussaint, NP
1525 Webster St Ste D, Fairfield, CA 94533-4935 · (707) 470-2888
-
Michelle R Turlington, ARNP
1620 Pennsylvania Ave Ste B, Fairfield, CA 94533-3509 · (707) 827-1990
-
MS. Marianne Wachalovsky, FNP
5140 Business Center Dr Ste 130, Fairfield, CA 94534-1793 · (707) 646-4218
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Lida S Ward, FNP
2560 N Texas St Ste C 2560 N Texas ST Ste C, Fairfield, CA 94533-1649 · (707) 423-4355