MRS. ANGIE MARIE WALLACE (NPI# 1881856615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881856615 |
| Entity Type | Individual |
| Full Name | MRS. ANGIE MARIE WALLACE |
| Other Name | MISS ANGIE MARIE BORNE |
| Credential | CRNP |
| Practice Address |
45 Roadside Ave Frnt Waynesboro PA 17268-2543 |
| Mailing Address |
22 St Paul Dr Ste 200 Chambersburg PA 17201-1033 |
| Practice Telephone | 7173878060 |
| Practice Fax Number | 7173878061 |
| Mailing Telephone | 7177097922 |
| Mailing Fax Number | 7172632055 |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2017-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0200X |
Clinical Nurse Specialist Specialization: Pediatrics |
SP009803 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598159956 | Angie Wallace | Nutritionist | 233 Easterly Pkwy, 104, State College, PA 16801-6300 | 2015-03-24 |
| Street Address |
45 ROADSIDE AVE FRNT |
| City | WAYNESBORO |
| State | PA |
| Zip Code | 17268-2543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922428424 | Arnauld Oreste | Pediatrics | 45 Roadside Ave Frnt, Waynesboro, PA 17268-2543 | 2014-04-23 |
| 1396160602 | Hina Warraich | Pediatrics | 45 Roadside Ave Frnt, Waynesboro, PA 17268-2543 | 2014-02-23 |
| 1154584340 | Allison Hickman | Pediatrics | 45 Roadside Ave Frnt, Waynesboro, PA 17268-2543 | 2008-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720277247 | Dawn Marie Snider | Occupational Therapy Assistant | Waynesboro Hospital, 501 East Main Street, Waynesboro, PA 17268 | 2007-10-22 |
| 1538373709 | Pediatric Specialists of Franklin County | Clinical Medical Laboratory | 27 Vista Dr. Unit 3, Waynesboro, PA 17268 | 2007-05-09 |
| 1225104821 | Robert Scott Reffner | Dentist | 1823 E Main St, Suite B, Waynsboro, PA 17268 | 2006-11-27 |
| 1821177510 | Savage Family Pharmacy Inc | Pharmacy | 604 East Main Street, Waynesboro, PA 17268 | 2006-11-03 |
| 1932206406 | Denise Tandjeu Tandjeu | Internal Medicine | 501 E. Main Street, Waynesboro, PA 17268 | 2006-09-19 |
| 1538272646 | Waynesboro Medical Associates,llc | Clinic/Center | 12104 Buchanan Trail East, Waynesboro, PA 17268 | 2006-08-16 |
| 1508873662 | Richard D Myers | Chiropractor | 1975 Market Square Blvd, Waynesboro, PA 17268 | 2006-08-02 |
| 1457392813 | Care Plus Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | 1637 E Main St, Waynesboro, PA 17268 | 2006-06-09 |
| 1366434284 | Quincy Retirement Community | Assisted Living Facility | 6596 Orphanage Rd, Waynesboro, PA 17268 | 2005-08-17 |
| 1700884475 | Michael Joseph Patti | Family Medicine | 6155 Anthony Highway, Waynesboro, PA 17268 | 2005-07-07 |
| Find all providers in zip 17268 | ||||
| Taxonomy Code | 364SP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639119266 | Deborah Miller | Clinical Nurse Specialist | 1431 Nursery St, Suite 102, Fogelsville, PA 18051-1612 | 2006-06-08 |
| 1275083909 | Lisa Quirk | Clinical Nurse Specialist | 160 E Erie Ave, Plasticsurgery Clinic, Philadelphia, PA 19134-1011 | 2016-10-05 |
| 1740633361 | Cicily Kurian | Clinical Nurse Specialist | 341 S Bellefield Ave, Pittsburgh, PA 15213-3552 | 2016-07-19 |
| 1851721658 | Emily Kolton | Clinical Nurse Specialist | 100 E Lehigh Ave, Philadelphia, PA 19125-1012 | 2013-11-15 |
| 1548692866 | Patricia Murray Howell | Clinical Nurse Specialist | 1837 Fair Ave, Honesdale, PA 18431-2121 | 2013-08-09 |
| 1548511629 | Elizabeth A Deguzman | Clinical Nurse Specialist | 34th & Civic Center Blvd., Ste 110, Philadelphia, PA 19104 | 2012-09-28 |
| 1235466814 | Rachael Jones | Clinical Nurse Specialist | 3601 A St, Philadelphia, PA 19134-1043 | 2009-11-03 |
| 1437119658 | The Milton S Hershey Medical Center Physicians Group | Clinical Nurse Specialist | 500 University Dr, Hershey, PA 17033-2360 | 2006-03-23 |
| City | WAYNESBORO |
| Zip Code | 17268 |
Please comment or provide details below to improve the information on MRS. ANGIE MARIE WALLACE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.