Search › Connecticut › 363LP0200X
Brittany Wallace, CPNP
NPI 1134992829 · on the registry since 2023 · sole proprietor
Practice
- Address
- 290 Western Blvd
Glastonbury, CT 06033 - Phone
- (860) 652-3325
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 363LP0200X
363LP0200X
- Also registered as
- 363LP0200X
- Licence states on file
- MA, CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-02-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut