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RAFAELLA WALLACE, ANP
ANP
Gerontology Nurse Practitioner
NPI: 1821469107IndividualAccepts Medicare
Specialties, Licenses & Credentials
Gerontology Nurse PractitionerPrimary
Nurse Practitioner — Gerontology
Code: 363LG0600X
AP129253(TX)
Adult Health Nurse Practitioner
Nurse Practitioner — Adult Health
Code: 363LA2200X
AP129253(TX)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2015
Contact & Hours
- Address
- 500 S HENDERSON ST STE 200
FORT WORTH, TX 76104 - Phone
- (817) 413-1500
Quick Facts
- NPI
- 1821469107
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 11
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