Wallace, Grace Christianne Manuela

Wallace, Grace Christianne Manuela is an sole proprietor health care provider with primary practice located at 1600 W Commercial Blvd , Fort Lauderdale FL 33309-3006. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Wallace, Grace Christianne Manuela can be contacted via phone (954) 318-1620.

Contact Information

Primary practice address
1600 W Commercial Blvd Fort Lauderdale FL 33309-3006
Phone: (954) 318-1620
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X APRN11047255 Florida

Profile Details

NPI number 1033046248
LBN Legal business name Wallace, Grace Christianne Manuela
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2026
Last updated May 4th, 2026 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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