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

MICHELLE DIANNE WALLACE, FNP-C

Active

MICHELLE DIANNE WALLACE, FNP-C is a Family Nurse Practitioner healthcare provider located in INDIANAPOLIS, Indiana. NPI 1316471790 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · INDIANAPOLIS, IN

Registration Details

NPI Number
1316471790
Provider Type
Individual
Gender
Female
NPI Issued
Apr 12, 2017 (9.3199211962308 yrs)
Last Updated
Apr 15, 2017
License
28184348A (IN)

Practice Information

Address
8970 S MERIDIAN ST
INDIANAPOLIS, IN, 462175031
Browse IN providers · Browse ZIP 46217
Phone
3173747779
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in INDIANAPOLIS, IN

Name Credential NPI
MILDRED SUE MCMANUS APRN C-FNP 1346244258
DAPHNEY KAY LEVERETT N.P. 1346246691
BETH ENGLISH N.P. 1326045733
LORA J FORTENBERRY NP 1194727735
ELLEN N UNDERWOOD NP 1508858598
MRS. DIONA LEA DUNN FNP 1811989122
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.