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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KATHLEEN WALLACE, APN

Active

KATHLEEN WALLACE, APN is a Nurse Practitioner healthcare provider located in MERRILLVILLE, Indiana. NPI 1225035504 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · MERRILLVILLE, IN

Registration Details

NPI Number
1225035504
Provider Type
Individual
Gender
Female
NPI Issued
Jul 1, 2005 (21.083149048668 yrs)
Last Updated
Dec 13, 2022
License
71000826A (IN)

Practice Information

Address
90 W 86TH AVE
MERRILLVILLE, IN, 464107086
Browse IN providers · Browse ZIP 46410
Phone
2197911555
Fax
2197911560
Primary Specialty
Nurse Practitioner
363L00000X

Other Nurse Practitioner Providers in MERRILLVILLE, IN

Name Credential NPI
MRS. NANCY M WHITE NP 1760429336
MARIANNE K SCHALLMO ANP 1679508410
PATTY A MEDING 1912018508
DOLORES ANN PHILLIPS 1811026909
JOANNA NEWMAN 1154544310
MRS. DEBBIE ANN MABLE NP 1205103835
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.