AUTUMN P WALLACE

CHARLOTTESVILLE, VA
NPI1184500167
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: VA  0001281069)
Enumeration Date2025-08-14
Last Update Date2025-08-14
Business Address
AUTUMN P WALLACE AG-ACNP
1215 LEE ST
CHARLOTTESVILLE, VA 22908-0816
Phone number: 434-982-3999
Mailing Address
AUTUMN P WALLACE AG-ACNP
PO BOX 749112
ATLANTA, GA 30374-9112
Phone number: 434-295-1000