Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SONNY S WALLACE, NP
ActiveSONNY S WALLACE, NP is a Nurse Practitioner healthcare provider located in OMAHA, Nebraska. NPI 1164909339 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · OMAHA, NE
Registration Details
- NPI Number
- 1164909339
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 20, 2018 (8.0498479477684 yrs)
- Last Updated
- Sep 20, 2018
- Licenses
-
H152173 (IA)112565 (NE)
Practice Information
- Address
-
7500 MERCY RDOMAHA, NE, 681242319Browse NE providers · Browse ZIP 68124
- Phone
- 8555244001
- Fax
- 4023985589
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
Other Nurse Practitioner Providers in OMAHA, NE
| Name | Credential | NPI |
|---|---|---|
| SYDNEY A BUCKLAND | APRN | 1104828326 |
| NANCYE D HASIAK | APRN-C | 1952300451 |
| AMY M MALONE | FNP-C | 1558340695 |
| SHERYL P SHANNON | APRN | 1457321614 |
| DANIELLE LEIGH GEIGER | APRN | 1598735763 |
| MS. JESSICA L JOHNSON | APRN | 1184697435 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.