Kathryn Mary Wallace APRN, BC

  • NPI 1407965320
According to our database, the NPI number for Kathryn Mary Wallace APRN, BC is 1407965320 and activated since 17 years ago. Kathryn Mary Wallace APRN, BC is an individual provider who specializes in Nurse Practitioner, and the primary practice location is 2640 Hamstrom Rd, Portage, IN 46368. You can also contact Kathryn Mary Wallace APRN, BC via telephone number is (219) 762-4423. Provider NPI information was last updated on 09/17/2012.

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Overview of Kathryn Mary Wallace APRN, BC

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 08/30/2006
  • Last updated: 09/17/2012

Primary Scrop of Practice

  • Taxonomy Code: 363L00000X
  • Specialty: Nurse Practitioner
  • License Number: 71000473A
  • License State: IN

Provider Mailing Address

  • Address: 2640 Hamstrom Rd
    Portage, IN 46368
  • Phone: 219-762-4423
  • Fax: 219-763-3120

Provider Practice Location

  • Address: 2640 Hamstrom Rd
    Portage, IN 46368
  • Phone: 219-762-4423
  • Fax: 219-763-3120

Scope of Practice

  • Taxonomy Code: 363L00000X
  • Specialty: Nurse Practitioner
  • License Number: 71000473A
  • License State: IN
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 500004228
  • Identifier Type: Other
  • Identifier State: IN
  • Issuer: RAILROAD MEDICARE

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 Kathryn Mary Wallace APRN, BC?
  • A: The npi number for Kathryn Mary Wallace APRN, BC is 1407965320.
  • Q: What are Kathryn Mary Wallace APRN, BC's specialties?
  • A: Kathryn Mary Wallace APRN, BC's specialties are Nurse Practitioner and different specialities.
  • Q: What is the medical license for Kathryn Mary Wallace APRN, BC?
  • A: The medical license number for Kathryn Mary Wallace APRN, BC is 71000473A and issued in IN in USA.
  • Q: Where is Kathryn Mary Wallace APRN, BC practice location?
  • A: Kathryn Mary Wallace APRN, BC is practicing at 2640 Hamstrom Rd, Portage, IN 46368.
  • Q: How to contact Kathryn Mary Wallace APRN, BC?
  • A: You can contact Kathryn Mary Wallace APRN, BC via 219-762-4423.