Tyresha Lyna Wallace
Doula · Great Mills, MD
NPI number
1497568455
Practice location
45528 Coosan CtGreat Mills, MD 20634-2454
- Phone
- (443) 404-9473
NPI record
- NPI
- 1497568455
- Entity type
- Individual (Type 1)
- Enumeration date
- January 31, 2025
- Last updated
- June 15, 2026
- Certified
- June 15, 2026
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Doula Primary | 374J00000X |
— | MD |
Mailing address
1517 Reisterstown RdPikesville, MD 21208-4325
- Phone
- (410) 541-1316
About Tyresha Wallace
Tyresha Lyna Wallace is a healthcare provider registered in the NPI registry with the primary taxonomy Doula (code 374J00000X). The practice location is 45528 Coosan Ct, Great Mills, MD 20634-2454. The NPI number 1497568455 was assigned on January 31, 2025 and the record was last updated on June 15, 2026.
Frequently asked questions
What is the NPI number of Tyresha Lyna Wallace?
The NPI number is 1497568455.
What is the phone number of Tyresha Wallace?
The phone number listed for the practice location is (443) 404-9473.
Where is Tyresha Wallace located?
45528 Coosan Ct, Great Mills, MD 20634-2454.
What is the taxonomy code for Tyresha Wallace?
The primary taxonomy code is 374J00000X – Doula.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.