MIATA WALLACE, PA

PA

Physician Assistant

NPI: 1013656990IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

2760(NE)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2022

Contact & Hours

Address: 1500 S 58TH ST STE 800
LINCOLN, NE 68506
Phone: (402) 483-8600

Quick Facts

NPI: 1013656990
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 4

Are you this provider?

Claim Your Profile