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Phyllis Wallace, APRN
NPI 1366486417 · on the registry since 2006
Practice
- Address
- 527 W 3rd St
Konawa, OK 74849 - Phone
- (580) 925-3286
- Fax
- (580) 925-9149
- Organisation at this address
- Central Ok Family Med Ctr
Central Oklahoma Family Medical Center
Central Oklahoma Family Medical Center
Central Oklahoma Family Medical Center
Central Oklahoma Family Medical CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 43
Registry record
- Primary taxonomy
- Family Nurse Practitioner
363LF0000X
- Also registered as
- Women's Health Nurse Practitioner
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-11-22
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 Oklahoma