Mrs Angie Marie Wallace, CRNP - Clinical Nurse Specialist in Waynesboro, PA

Mrs Angie Marie Wallace, CRNP is a Clinical Nurse Specialist - Pediatrics based in Waynesboro, Pennsylvania. Mrs Angie Marie Wallace is licensed to practice in Pennsylvania (license number SP009803) and her current practice location is 45 Roadside Ave Frnt, Waynesboro, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at (717) 387-8060.

NPI number for Mrs Angie Marie Wallace is 1881856615 and her current mailing address is 22 St Paul Dr Ste 200, Chambersburg, Pennsylvania. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881856615.

Contact Information

Mrs Angie Marie Wallace, CRNP
45 Roadside Ave Frnt,
Waynesboro, PA 17268-2543
(717) 387-8060
(717) 387-8061



Provider's Profile

Full NameMrs Angie Marie Wallace
GenderFemale
SpecialityClinical Nurse Specialist - Pediatrics
Location45 Roadside Ave Frnt, Waynesboro, Pennsylvania
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1881856615
  • Provider Enumeration Date: 07/02/2008
  • Last Update Date: 09/11/2017

Medical Identifiers

Medical identifiers for Mrs Angie Marie Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881856615NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SP0200XClinical Nurse Specialist - Pediatrics SP009803 (Pennsylvania)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. Mrs Angie Marie 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
Mrs Angie Marie Wallace, CRNP
22 St Paul Dr Ste 200,
Chambersburg, PA 17201-1033

Ph: (717) 709-7922
Mrs Angie Marie Wallace, CRNP
45 Roadside Ave Frnt,
Waynesboro, PA 17268-2543

Ph: (717) 387-8060

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› Verified 9 days ago


Clinical Nurse Specialist Nurses in Waynesboro, PA


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