person
Ms. Judith Mary Wallace, RXN,NP
Critical Care Neonatal Nurse Practitioner in Louisville, Colorado
NPI 1922210343

Judith Mary Wallace is a Critical Care Neonatal Nurse Practitioner based in Evergreen, CO and is specialized in Neonatal, Critical Care. Judith Mary Wallace practices in Louisville, CO and has the professional credentials of RXN,NP. The NPI Number for Judith Mary Wallace is 1922210343 and holds a License No. 96216 (Colorado).

The current practice location address for Judith Mary Wallace is 100 Health Park Dr, Louisville, CO and can be reached out via phone at 303-673-1102.

Location: 100 Health Park Dr, Louisville, CO, 80439-9460
person
Provider Profile Details
NPI Number
1922210343
Provider Name
Judith Mary Wallace
Credential
RXN,NP
Provider Entity Type
Individual
Gender
Female
Address
100 Health Park Dr, Louisville, CO, 80439-9460
Phone Number
303-673-1102
Fax Number
Provider Enumeration Date
05/06/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 Health Park Dr
City
State
Zip
80027-9583
Phone Number
303-673-1102
Fax Number
person
Provider Business Mailing Address Details
Address
100 Health Park Dr
City
State
Zip
80027-9583
Phone Number
303-673-1102
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal, Critical Care
Taxonomy
License No.
96216 (Colorado)
Definition
Definition to come...
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