KATHRYN WALLACE, APRN, BC

APRN, BC

Nurse Practitioner

NPI: 1407965320Individual

Specialties, Licenses & Credentials

Nurse PractitionerPrimary

Nurse Practitioner

Code: 363L00000X

71000473A(IN)

Contact & Hours

Address: 2640 HAMSTROM RD
PORTAGE, IN 46368
Phone: (219) 762-4423

Quick Facts

NPI: 1407965320
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

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