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Ms. Beth Irene Wallace, FNP-BC
Family Nurse Practitioner in Gainesville, Florida
NPI 1871906909

Beth Irene Wallace is a Family Nurse Practitioner based in Gainesville, FL and is specialized in Family. Beth Irene Wallace practices in Gainesville, FL and has the professional credentials of FNP-BC. The NPI Number for Beth Irene Wallace is 1871906909 and holds a License No. ARNP 9399487 (Florida).

The current practice location address for Beth Irene Wallace is 4354 Nw 23Rd Ave # Avw, Gainesville, FL and can be reached out via phone at 352-376-4565.

Location: 4354 Nw 23Rd Ave # Avw, Gainesville, FL, 32606-6541
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871906909
Provider Name
Beth Irene Wallace
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
4354 Nw 23Rd Ave # Avw, Gainesville, FL, 32606-6541
Phone Number
352-376-4565
Fax Number
Provider Enumeration Date
06/05/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4354 Nw 23Rd Ave # Avw
City
Gainesville
State
Florida
Zip
32606-6541
Phone Number
352-376-4565
Fax Number
person
Provider Business Mailing Address Details
Address
4354 Nw 23Rd Ave # Avw
City
Gainesville
State
Florida
Zip
32606-6541
Phone Number
352-376-4565
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
ARNP 9399487 (Florida)
Definition
Definition to come...
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