REBECCA WALLACE, APRN
Nurse Practitioner - Family
Active
Individual
NPI: 1104810134
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | Yes | 216162-4405 (UT) |
Frequently Asked Questions
NPI 1104810134 is the National Provider Identifier for REBECCA WALLACE, APRN, a Nurse Practitioner - Family provider located in Salt Lake City, UT. This NPI was enumerated on September 6, 2005.
REBECCA WALLACE, APRN practices at 3838 S 700 E, SUITE 200, Salt Lake City, UT 84106.
Quick Facts
- NPI
- 1104810134
- Type
- Individual
- Enumerated
- Sep 6, 2005
- Last Updated
- Nov 24, 2008
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