Deborah Wallace, - Licensed Practical Nurse in Bethesda, MD

Deborah Wallace, is a Licensed Practical Nurse based in Bethesda, Maryland. Deborah Wallace is licensed to practice in New York (license number LP28371) and her current practice location is 6040 Southport Dr, Bethesda, Maryland. She can be reached at her office (for appointments etc.) via phone at (301) 493-4200.

NPI number for Deborah Wallace is 1235526633 and her current mailing address is 6040 Southport Dr, Bethesda, Maryland. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235526633.

Contact Information

Deborah Wallace,
6040 Southport Dr,
Bethesda, MD 20814-1848
(301) 493-4200
Not Available



Provider's Profile

Full NameDeborah Wallace
GenderFemale
SpecialityLicensed Practical Nurse
Location6040 Southport Dr, Bethesda, Maryland
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1235526633
  • Provider Enumeration Date: 04/23/2015
  • Last Update Date: 04/23/2015

Medical Identifiers

Medical identifiers for Deborah Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235526633NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse LP28371 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Deborah Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Deborah Wallace,
6040 Southport Dr,
Bethesda, MD 20814-1848

Ph: (301) 493-4200
Deborah Wallace,
6040 Southport Dr,
Bethesda, MD 20814-1848

Ph: (301) 493-4200

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› Verified 8 days ago


Licensed Practical Nurse Nurses in Bethesda, MD

Mrs. Jennifer Ekundayo Jackson-bickersteth, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 6040 Southport Dr, Bethesda, MD 20814
Phone: 301-715-3673    Fax: 888-496-8354
Armene S Michel,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 8901 Wisconsin Ave, Bethesda, MD 20889
Phone: 301-295-6672    
Darmawai Salley, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 6040 Southport Dr, Bethesda, MD 20814
Phone: 301-493-4200    Fax: 301-493-6209
Latoya Woodroffe, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 6040 Southport Dr, Bethesda, MD 20814
Phone: 301-493-4200    Fax: 301-493-6209
Yvonne Medina, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 6040 Southport Dr, Bethesda, MD 20814
Phone: 301-493-4200    Fax: 301-493-6209

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