HOLLY WALLACE, APNP
Nurse Practitioner
Active
Individual
NPI: 1124660592
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner | 363L00000X | Yes | 9679 (WI) |
Frequently Asked Questions
NPI 1124660592 is the National Provider Identifier for HOLLY WALLACE, APNP, a Nurse Practitioner provider located in Summit, WI. This NPI was enumerated on October 17, 2019.
HOLLY WALLACE, APNP practices at 36500 AURORA DR, Summit, WI 53066.
Quick Facts
- NPI
- 1124660592
- Type
- Individual
- Enumerated
- Oct 17, 2019
- Last Updated
- Oct 24, 2025
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