Cinda Lou Wallace NP

NPI 1003899535 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1003899535
Gender Female
Enumeration Date 11/29/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
115 DREW AVE SE
MADELIA MN, 56062-1841, US
Phone (507) 642-3241
Fax
Business Location
1025 MARSH ST
MANKATO MN, 56001-4752, US
Phone (507) 625-4031
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Minnesota
License Number R0804730
Remove 1003899535 NPI Number
 

According to our database, Cinda Lou Wallace NP NPI is 1003899535, taxonomy code is 363LF0000X and license number is R0804730, license state is located at Minnesota. Cinda Lou Wallace NP physically located at 115 Drew Ave Se, Madelia MN, 56062-1841. NPI Number Cinda Lou Wallace NP has the Individual type.

Sponsored links

1003899535 NPI number is provided on an as is basis without warranty of any kind. 1003899535 is maintained by the National Plan & Provider Enumeration System. The contents of Cinda Lou Wallace NP are for informational purposes only.