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

Tracy Wallace

Individual provider Administrator Registered Nurse · NPI 1326481755

Tracy Wallace is an Administrator Registered Nurse in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2013.

Licensed in
MI
In the registry since
2013
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

15400 W McNichols Rd
Detroit, MI 48235-3724
Phone: (313) 732-8272
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Administrator Registered Nurse (primary) Taxonomy 163WA2000X · Licence 4704197701 (MI)

Record details

NPI number1326481755
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 16, 2013
Last updated in NPPESApril 16, 2013
Mailing address4779 Glendale, Detroit, MI 48238

Other providers in Detroit