KATHLEEN WALLACE, APN

Nurse Practitioner

Active Individual
NPI: 1225035504

Practice Address

90 W 86TH AVE
Merrillville, IN 46410

Phone: (219) 791-1555

Specialties

Specialty Code Primary License
Nurse Practitioner 363L00000X Yes 71000826A (IN)

Frequently Asked Questions

NPI 1225035504 is the National Provider Identifier for KATHLEEN WALLACE, APN, a Nurse Practitioner provider located in Merrillville, IN. This NPI was enumerated on July 1, 2005.
KATHLEEN WALLACE, APN practices at 90 W 86TH AVE, Merrillville, IN 46410.

Quick Facts

NPI
1225035504
Type
Individual
Enumerated
Jul 1, 2005
Last Updated
Dec 13, 2022

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