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Lisa M Wallace, NP
Oncology Clinical Nurse Specialist in Muncie, Indiana
NPI 1134438286

Lisa M Wallace is a Oncology Clinical Nurse Specialist based in Indianapolis, IN and is specialized in Oncology. Lisa M Wallace practices in Muncie, IN and has the professional credentials of NP. The NPI Number for Lisa M Wallace is 1134438286 and holds a License No. 71003281A (Indiana).

The current practice location address for Lisa M Wallace is 2525 W University Ave Ste 300, Muncie, IN and can be reached out via phone at 765-289-5420 and via fax at 765-281-2065. You can also correspond with Lisa M Wallace through the mailing address at 250 N SHADELAND AVE, INDIANAPOLIS, IN - 46219-4959 (mailing address contact number: ).

Location: 2525 W University Ave Ste 300, Muncie, IN, 46219-4959
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134438286
Provider Name
Lisa M Wallace
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2525 W University Ave Ste 300, Muncie, IN, 46219-4959
Phone Number
765-289-5420
Fax Number
765-281-2065
Provider Enumeration Date
10/06/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201000070 05 IN
00000932255 01 IN ANTHEM
institution
Provider Business Practice Location Address Details
Address
2525 W University Ave Ste 300
City
Muncie
State
Indiana
Zip
47303-3432
Phone Number
765-289-5420
Fax Number
765-281-2065
person
Provider Business Mailing Address Details
Address
2525 W University Ave Ste 300
City
Muncie
State
Indiana
Zip
47303-3432
Phone Number
765-289-5420
Fax Number
765-281-2065
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
71003281A (Indiana)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
71003281A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Oncology
Taxonomy
364SX0200X
License No.
71003281A (Indiana)
Definition
Definition to come...
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