Catherine Wallace NP

NPI 1033200431 - Nurse Practitioner - 363LN0000X

NPI Details
NPI 1033200431
Gender Female
Enumeration Date 09/28/2006
Last Updated 04/30/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
1250 E 9TH ST
DES MOINES IA, 50316-2316, US
Phone (515) 263-2600
Fax (515) 263-2620
Business Location
1250 E 9TH ST
DES MOINES IA, 50316-2316, US
Phone (515) 263-2600
Fax (515) 263-2620
Toxanomy
Taxonomy Code 363LN0000X
License State Iowa
License Number A106126
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According to our database, Catherine Wallace NP NPI is 1033200431, taxonomy code is 363LN0000X and license number is A106126, license state is located at Iowa. Catherine Wallace NP physically located at 1250 E 9th St, Des Moines IA, 50316-2316. NPI Number Catherine Wallace NP has the Individual type.

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1033200431 NPI number is provided on an as is basis without warranty of any kind. 1033200431 is maintained by the National Plan & Provider Enumeration System. The contents of Catherine Wallace NP are for informational purposes only.