person
Michelle Dianne Wallace, FNP-C
Family Nurse Practitioner in Indianapolis, Indiana
NPI 1316471790

Michelle Dianne Wallace is a Family Nurse Practitioner based in Indianapolis, IN and is specialized in Family. Michelle Dianne Wallace practices in Indianapolis, IN and has the professional credentials of FNP-C. The NPI Number for Michelle Dianne Wallace is 1316471790 and holds a License No. 28184348A (Indiana).

The current practice location address for Michelle Dianne Wallace is 8970 S Meridian St, Indianapolis, IN and can be reached out via phone at 317-374-7779.

Location: 8970 S Meridian St, Indianapolis, IN, 46217-5031
person
Provider Profile Details
NPI Number
1316471790
Provider Name
Michelle Dianne Wallace
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
8970 S Meridian St, Indianapolis, IN, 46217-5031
Phone Number
317-374-7779
Fax Number
Provider Enumeration Date
04/12/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8970 S Meridian St
City
State
Zip
46217-5031
Phone Number
317-374-7779
Fax Number
person
Provider Business Mailing Address Details
Address
8970 S Meridian St
City
State
Zip
46217-5031
Phone Number
317-374-7779
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
28184348A (Indiana)
Definition
Definition to come...
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