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Kathleen Wallace, APN
NPI 1225035504 · on the registry since 2005
Practice
- Address
- 90 W 86th Ave
Merrillville, IN 46410 - Phone
- (219) 791-1555
- Fax
- (219) 791-1560
- Clinicians at this address
- 15
Registry record
- Primary taxonomy
- Nurse Practitioner
363L00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-12-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana