person
Amber Michelle Wallace, NP
Neonatal Nurse Practitioner in South Bend, Indiana
NPI 1679716534

Amber Michelle Wallace is a Neonatal Nurse Practitioner based in Granger, IN and is specialized in Neonatal. Amber Michelle Wallace practices in South Bend, IN and has the professional credentials of NP. The NPI Number for Amber Michelle Wallace is 1679716534 and holds a License No. 71002921A (Indiana).

The current practice location address for Amber Michelle Wallace is 615 N Michigan St 1St Fl Hospitalist Ste, South Bend, IN and can be reached out via phone at 574-647-3050 and via fax at 574-647-1094.

Location: 615 N Michigan St 1St Fl Hospitalist Ste, South Bend, IN, 46530-1380
person
Provider Profile Details
NPI Number
1679716534
Provider Name
Amber Michelle Wallace
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
615 N Michigan St 1St Fl Hospitalist Ste, South Bend, IN, 46530-1380
Phone Number
574-647-3050
Fax Number
574-647-1094
Provider Enumeration Date
04/08/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201017740 05 IN
institution
Provider Business Practice Location Address Details
Address
615 N Michigan St 1St Fl Hospitalist Ste
City
State
Zip
46601-1033
Phone Number
574-647-3050
Fax Number
574-647-1094
person
Provider Business Mailing Address Details
Address
615 N Michigan St 1St Fl Hospitalist Ste
City
State
Zip
46601-1033
Phone Number
574-647-3050
Fax Number
574-647-1094
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal
Taxonomy
License No.
71002921A (Indiana)
Definition
Definition to come...
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