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Donnetta Lynn Wallace
Family Nurse Practitioner in Monticello, Minnesota
NPI 1922436914

Donnetta Lynn Wallace is a Family Nurse Practitioner based in Buffalo, MN and is specialized in Family. Donnetta Lynn Wallace practices in Monticello, MN. The NPI Number for Donnetta Lynn Wallace is 1922436914 and holds a License No. R 151800-9 (Minnesota).

The current practice location address for Donnetta Lynn Wallace is 1001 Hart Blvd Ste 100, Monticello, MN and can be reached out via phone at 763-295-2921 and via fax at 763-581-9090.

Location: 1001 Hart Blvd Ste 100, Monticello, MN, 55313-1930
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922436914
Provider Name
Donnetta Lynn Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
1001 Hart Blvd Ste 100, Monticello, MN, 55313-1930
Phone Number
763-295-2921
Fax Number
763-581-9090
Provider Enumeration Date
10/29/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1001 Hart Blvd Ste 100
City
Monticello
State
Minnesota
Zip
55362-8929
Phone Number
763-295-2921
Fax Number
763-581-9090
person
Provider Business Mailing Address Details
Address
1001 Hart Blvd Ste 100
City
Monticello
State
Minnesota
Zip
55362-8929
Phone Number
763-295-2921
Fax Number
763-581-9090
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
R 151800-9 (Minnesota)
Definition
Definition to come...
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