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DEANNA WALLACE, NP
NP
Family Nurse Practitioner
NPI: 1609222579IndividualAccepts Medicare
Specialties, Licenses & Credentials
Cardiovascular Disease Physician
Internal Medicine — Cardiovascular Disease
Code: 207RC0000X
209.014278(IL)
Family Nurse PractitionerPrimary
Nurse Practitioner — Family
Code: 363LF0000X
209014278(IL)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2016
Contact & Hours
Via practice · 3 locations total
- Address
- 1800 E LAKE SHORE DR
DECATUR, IL 62521 - Phone
- (217) 422-6100
Quick Facts
- NPI
- 1609222579
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 3
- Years in Practice
- 10
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