person
Sara Stanielle Wallis
Acute Care Nurse Practitioner in Decatur, Illinois
NPI 1912760141

Sara Stanielle Wallis is an Acute Care Nurse Practitioner based in Forsyth, IL and is specialized in Acute Care. Sara Stanielle Wallis practices in Decatur, IL. The NPI Number for Sara Stanielle Wallis is 1912760141 and holds a License No. 209029068 (Illinois).

The current practice location address for Sara Stanielle Wallis is 2300 N Edward St, Decatur, IL and can be reached out via phone at 217-876-8121. You can also correspond with Sara Stanielle Wallis through the mailing address at 715 FAIRWAY DR, FORSYTH, IL - 62535-9795 (mailing address contact number: 217-853-8412).

Location: 2300 N Edward St, Decatur, IL, 62535-9795
person
Provider Profile Details
NPI Number
1912760141
Provider Name
Sara Stanielle Wallis
Credential
Provider Entity Type
Individual
Gender
Female
Address
2300 N Edward St, Decatur, IL, 62535-9795
Phone Number
217-876-8121
Fax Number
Provider Enumeration Date
01/31/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2300 N Edward St
City
State
Zip
62526-4192
Phone Number
217-876-8121
Fax Number
person
Provider Business Mailing Address Details
Address
715 Fairway Dr
City
State
Zip
62535-9795
Phone Number
217-853-8412
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
209029068 (Illinois)
Definition
Definition to come...
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