Stephanie Wallace, APRN

NPI 1730419599 · on the registry since 2009

Practice

Address: 9800 Shelbyville Rd
Suite #220
Louisville, KY 40223
Phone: (502) 429-8585
Fax: (502) 429-6157
Organisation at this address: Psf Pllc
Timothy W. Logan, D.M.D., P.S.C.
Bluegrass Podiatric Management Llc
University Pediatrics Foundation, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 28

Registry record

Primary taxonomy: 363L00000X
363L00000X
Licence states on file: KY
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2013-04-25

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 Kentucky