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Amanda Denise Wallace, NP

Family Nurse Practitioner in Brandon, FL · enumerated 2021.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1275104796

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Registry record

Entity type Individual (Type 1)
Name Amanda Denise Wallace
Credential NP
Sex Female
Practice address 214 Morrison Rd Ste 104, Brandon, FL, 33511
Phone (813) 681-6474
Fax (813) 654-8473
Enumeration date Jul 6, 2021
Last updated in NPPES Jun 30, 2022

Taxonomy & licenses

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 11013133 (FL) Primary
NP · Nurse Practitioner: An advanced practice registered nurse with graduate training, licensed to diagnose and treat, often with prescriptive authority. About the NP credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Amanda Wallace's NPI record?
Cross-check NPI 1275104796 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1275104796 active?
Yes, as of the latest NPPES snapshot, NPI 1275104796 is active (record last updated 2022-06-30).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-06-30.