LISA MARIE WALLACE NP
Individual Provider (NPI-1)
Active
Nurse Practitioner, Adult Health
Provider Information
- NPI Number
1134438286- Provider Type
- Individual Provider (NPI-1)
- Credentials
- NP
- Status
- Active
Contact & Location
- Address
- 2401 W UNIVERSITY AVE, MUNCIE, IN, 473033428
- Phone
- (765) 281-2030
Specialties & Taxonomies
Nurse Practitioner, Adult Health
Primary License: IN #71003281A
Nurse Practitioner
License: IN #71003281A
Clinical Nurse Specialist, Oncology
License: IN #71003281A
All Addresses
MAILING
250 N SHADELAND AVE
INDIANAPOLIS, IN, 462194959