Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DANE C WALLACE, NURSE PRACTITIONER
Active Sole ProprietorDR. DANE C WALLACE, NURSE PRACTITIONER is a Family Nurse Practitioner healthcare provider located in EDWARDSVILLE, Illinois. NPI 1528787744 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · EDWARDSVILLE, IL
Registration Details
- NPI Number
- 1528787744
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 22, 2022 (3.9590176450553 yrs)
- Last Updated
- Nov 6, 2023
- Licenses
-
209.025563 (IL)2023036829 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
529 HILLSBORO AVEEDWARDSVILLE, IL, 620251864Browse IL providers · Browse ZIP 62025
- Phone
- 2176218675
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in EDWARDSVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| MS. MARGARET MONTIBELLER | APN, CNP | 1871614123 |
| HOLLIE A YODER | FNP-BC | 1548476922 |
| PROF. JACQUELYN M. CLEMENT | PH.D., F.N.P.-B.C. | 1588078018 |
| RANITA R KELLER | FNP | 1083096895 |
| MARY AMANDA AMANDA PITTMAN | — | 1609238518 |
| JESSICA JOANN STEWART | FNP-C | 1497280119 |
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.