Shawn Marie Wallace, CRNP
Shawn Marie Wallace, CRNP is a Nurse Practitioner in Flourtown, Pennsylvania. Qualified in 2018, 8 years ago. Licensed in Maryland and New Jersey.
- Years since qualifying
- 8
- Licensed in
- MD, NJ
- In the registry since
- 2019
- Specialties on file
- 2
What do these letters mean?
- CRNP — Certified Registered Nurse Practitioner
- The title Pennsylvania and some other states use for a nurse practitioner.
Practice location Address checks out
110 W Wissahickon AveFlourtown, PA 19031-1898
Phone: (215) 248-7804
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Acute Care Nurse Practitioner (primary) | Taxonomy 363LA2100X · Licence NJDCATEMP-006243 (NJ) |
|---|---|
| Nurse Practitioner | Taxonomy 363L00000X · Licence R235002 (MD) |
Record details
| NPI number | 1518430875 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CRNP |
| Sole proprietor | No |
| NPI enumerated | January 9, 2019 |
| Last updated in NPPES | August 6, 2022 |
| Certification date | August 6, 2022 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Accepts Medicare assignment | Not indicated |
Other providers in Flourtown
-
Miss. Melissa Ann Renzi, FNP-BC
1107 Bethlehem Pike Ste 103, Flourtown, PA 19031-1919 · (152) 547-0702
-
Mrs. Audrey Diane Scanlon, CRNP
1811 Bethlehem Pike Ste A108, Flourtown, PA 19031 · (215) 884-9959
-
Caitlin Fries Underkoffler, NP
1811 Bethlehem Pike # C-300, Flourtown, PA 19031-1111 · (215) 402-0800