Ms. Katie L Wallace, FNP-BC
Nurse Practitioner, Family in Burlington, Massachusetts
1952703092- Practice location
- 67 S Bedford St Ste 101E, Burlington, MA 01803-5152
- Phone
- 781-744-8085
- Fax
- —
- Last updated
- February 24, 2023
Katie Lynn Wallace is a Nurse Practitioner, Family based in Burlington, MA. Katie Lynn Wallace practices in Burlington, MA and has the professional credentials of FNP-BC. The NPI Number for Katie Lynn Wallace is 1952703092 and holds a License No. RN2275454 (MA). The current practice location address for Katie Lynn Wallace is 67 S Bedford St Ste 101E, Burlington, MA 01803-5152 and can be reached out via phone at 781-744-8085.
Provider Profile Details
- NPI Number
- 1952703092
- Provider Name
- Katie Lynn Wallace
- Credential
- FNP-BC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 67 S Bedford St Ste 101E, Burlington, MA 01803-5152
- Phone Number
- 781-744-8085
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 19, 2014
- Last Update Date
- February 24, 2023
- Certification Date
- February 24, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 67 S Bedford St Ste 101E
Burlington, MA 01803-5152 - City
- Burlington
- State
- Massachusetts
- Zip
- 01803-5152
- Phone Number
- 781-744-8085
Provider Business Mailing Address Details
- Address
- 41 Mall RD
Burlington, MA 01805-0002 - City
- Burlington
- State
- MA
- Zip
- 01805-0002
- Phone Number
- 781-744-8085
License Information
- License Number
- RN2275454
- License State
- MA
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Katie L Wallace, FNP-BC?
The NPI number of Ms. Katie L Wallace, FNP-BC is 1952703092. It was assigned on September 19, 2014 and is currently active in the NPPES registry.
What is the specialty of Ms. Katie L Wallace, FNP-BC?
Ms. Katie L Wallace, FNP-BC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number RN2275454.
Where does Ms. Katie L Wallace, FNP-BC practice?
The practice location is 67 S Bedford St Ste 101E, Burlington, MA 01803-5152. The office can be reached at 781-744-8085 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1952703092 directly on the NPPES registry website.