Deanna Wallace NP

  • NPI 1609222579
According to our database, the NPI number for Deanna Wallace NP is 1609222579 and activated since 8 years ago. Deanna Wallace NP is an individual provider who specializes in Family, and the primary practice location is 1770 E Lake Shore Dr Ste 105, Decatur, IL 62521. You can also contact Deanna Wallace NP via telephone number is (217) 422-6100. Provider NPI information was last updated on 09/03/2021.

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Overview of Deanna Wallace NP

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 05/10/2016
  • Last updated: 09/03/2021

Primary Scrop of Practice

  • Taxonomy Code: 363LF0000X
  • Specialty: Family
  • License Number: 209014278
  • License State: IL

Provider Mailing Address

  • Address: 1770 E Lake Shore Dr Ste 105
    Decatur, IL 62521
  • Phone: 217-422-6100
  • Fax: 833-784-5326

Provider Practice Location

  • Address: 1770 E Lake Shore Dr Ste 105
    Decatur, IL 62521
  • Phone: 217-422-6100
  • Fax: 833-784-5326

Scope of Practice

  • Taxonomy Code: 207RC0000X
  • Specialty: Cardiovascular Disease
  • License Number: 209.014278
  • License State: IL
  • Switch: No

Legacy Identifiers

  • Provider Identifier: P01657319
  • Identifier Type: Other
  • Identifier State: IL
  • Issuer: RAILROAD

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Deanna Wallace NP?
  • A: The npi number for Deanna Wallace NP is 1609222579.
  • Q: What are Deanna Wallace NP's specialties?
  • A: Deanna Wallace NP's specialties are Family and different specialities.
  • Q: What is the medical license for Deanna Wallace NP?
  • A: The medical license number for Deanna Wallace NP is 209014278 and issued in IL in USA.
  • Q: Where is Deanna Wallace NP practice location?
  • A: Deanna Wallace NP is practicing at 1770 E Lake Shore Dr Ste 105, Decatur, IL 62521.
  • Q: How to contact Deanna Wallace NP?
  • A: You can contact Deanna Wallace NP via 217-422-6100.