Alexandrea Irene Wallace (NPI# 1740993252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1740993252 |
| Entity Type | Individual |
| Full Name | Alexandrea Irene Wallace |
| Credential | MSN, APRN, PMHNP-BC |
| Gender | Female |
| Practice Address |
85 Ne Loop 410 Ste 315 San Antonio TX 78216-5836 |
| Practice Telephone | 3513566441 |
| Mailing Address |
85 Ne Loop 410 Ste 315 San Antonio TX 78216-5836 |
| Sole Proprietor | No, this individual is not a Sole Proprietor |
| Enumeration Date | 2022-12-29 |
| Last Update Date | 2022-12-29 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 363LP0808X | Nurse Practitioner · Psychiatric/Mental Health | Physician Assistants & Advanced Practice Nursing Providers | 1104891 | TX |
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psychiatric/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881394898 | Connections Nursing Psychiatry Pllc | 502 Adkins Pride, San Antonio, TX 782452753 | 2023-03-08 | |
| 1235839135 | Dueward Shane Wimberly | 8535 Tom Slick, San Antonio, TX 782293367 | 2023-03-08 | |
| 1366140071 | Rhiannon Soukup | 14603 Huebner Rd Ste 3505, San Antonio, TX 782305469 | 2023-02-21 | |
| 1215633508 | Krista N Pasquale | 414 Willow Grove Dr, San Antonio, TX 782452775 | 2023-02-07 | |
| 1487360756 | Evelyn Dumkwu | 1139 E Sonterra Blvd, San Antonio, TX 782584347 | 2023-01-30 | |
| 1568177749 | Terry Tack | 17720 Corporate Woods Dr, San Antonio, TX 782593500 | 2023-01-23 | |
| 1679288294 | Maria Guadalupe Wallace | 9939 State Highway 151, San Antonio, TX 782511900 | 2023-01-18 | |
| 1548974272 | Patricia Eguavoen | 9742 Wind Dancer, San Antonio, TX 782514813 | 2023-01-09 | |
| 1588376834 | Safe Space Healthcare Services | 18203 Rim Dr # 101, San Antonio, TX 78257-9543 | 2022-12-19 | |
| 1518679141 | Green Pastures Mental Care | 12370 Potranco Rd, Ste 207, San Antonio, TX 78253-4260 | 2022-12-14 | |
| Find all providers in SAN ANTONIO | ||||
| Street Address |
85 NE LOOP 410 STE 315 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78216-5836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881394856 | Clarice L Nguyen | 60 Greens Shade, San Antonio, TX 782167821 | 2023-03-07 | |
| 1578262408 | Sharon Kay Garcia | 10119 Marcus Dr, San Antonio, TX 782163725 | 2023-02-28 | |
| 1801594684 | Angel Weatherholtz | 502 E Ramsey Rd, San Antonio, TX 782164639 | 2023-02-21 | |
| 1033817119 | Angela Marie Flores | 14235 Blanco Rd, San Antonio, TX 782167718 | 2023-02-20 | |
| 1144928037 | Precision Addiction Medicine Pllc | 7400 Blanco Rd Ste 126, San Antonio, TX 782164361 | 2023-02-20 | |
| 1366140618 | Reagan Michelle Cherry | 14235 Blanco Rd, San Antonio, TX 782167718 | 2023-02-16 | |
| 1235836644 | Next Up Haalth | 13423 Blanco Rd, San Antonio, TX 782162187 | 2023-02-15 | |
| 1578260428 | Benito Augustine Perales | 165 W Rampart Dr Apt 703, San Antonio, TX 782166771 | 2023-02-10 | |
| 1558067330 | Karina Danielle Lopez | 13333 Blanco Rd Ste 310, San Antonio, TX 782167756 | 2023-02-03 | |
| 1972209625 | Evan Mccann | 10300 Heritage St Ste 160, San Antonio, TX 782163924 | 2023-02-03 | |
| Find all providers in zip 78216 | ||||
| City | SAN ANTONIO |
| Zip Code | 78216 |
Please comment or provide details below to improve the information on Alexandrea Irene 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.