SearchArkansas133V00000X

Madeline Wallace, RD

NPI 1366264970 · on the registry since 2024

Practice

Address
4301 W Markham St # 574
Little Rock, AR 72205
Phone
(501) 526-6477
Fax
(501) 526-7977
Clinicians at this address
6

Registry record

Primary taxonomy
133V00000X
133V00000X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-12-13

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 Arkansas