Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAURA ANN WALLACE, A.P.N
ActiveLAURA ANN WALLACE, A.P.N is a Primary Care Nurse Practitioner healthcare provider located in PILOT KNOB, Missouri. NPI 1265737753 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · PILOT KNOB, MO
Registration Details
- NPI Number
- 1265737753
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 14, 2011 (15.584850601766 yrs)
- Last Updated
- Aug 7, 2025
- License
-
2010037004 (MO)
Practice Information
- Address
-
301 N HIGHWAY 21PILOT KNOB, MO, 636637862Browse MO providers · Browse ZIP 63663
- Phone
- 5735468036
- Fax
- 5735468067
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
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.