Katherine C Wallace, APRN, FNP-BC
Nurse Practitioner, Family in Marlborough, Connecticut
1114821618- Practice location
- 14 Jones Hollow RD, Marlborough, CT 06447-1448
- Phone
- 860-295-8217
- Fax
- —
- Last updated
- October 7, 2026
Katherine C Wallace is a Nurse Practitioner, Family based in Marlborough, CT. Katherine C Wallace practices in Marlborough, CT and has the professional credentials of APRN, FNP-BC. The NPI Number for Katherine C Wallace is 1114821618 and holds a License No. 18417 (CT). The current practice location address for Katherine C Wallace is 14 Jones Hollow RD, Marlborough, CT 06447-1448 and can be reached out via phone at 860-295-8217.
Provider Profile Details
- NPI Number
- 1114821618
- Provider Name
- Katherine C Wallace
- Credential
- APRN, FNP-BC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 14 Jones Hollow RD, Marlborough, CT 06447-1448
- Phone Number
- 860-295-8217
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 7, 2026
- Last Update Date
- October 7, 2026
- Certification Date
- October 7, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 14 Jones Hollow RD
Marlborough, CT 06447-1448 - City
- Marlborough
- State
- Connecticut
- Zip
- 06447-1448
- Phone Number
- 860-295-8217
Provider Business Mailing Address Details
- Address
- 14 Jones Hollow RD
Marlborough, CT 06447-1448 - City
- Marlborough
- State
- CT
- Zip
- 06447-1448
License Information
- License Number
- 18417
- License State
- CT
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Katherine C Wallace, APRN, FNP-BC?
The NPI number of Katherine C Wallace, APRN, FNP-BC is 1114821618. It was assigned on October 7, 2026 and is currently active in the NPPES registry.
What is the specialty of Katherine C Wallace, APRN, FNP-BC?
Katherine C Wallace, APRN, FNP-BC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 18417.
Where does Katherine C Wallace, APRN, FNP-BC practice?
The practice location is 14 Jones Hollow RD, Marlborough, CT 06447-1448. The office can be reached at 860-295-8217 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114821618 directly on the NPPES registry website.