Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY LANE WALLACE, NP-C
ActiveKIMBERLY LANE WALLACE, NP-C is a Primary Care Nurse Practitioner healthcare provider located in BEAVERCREEK, Ohio. NPI 1619688116 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · BEAVERCREEK, OH
Registration Details
- NPI Number
- 1619688116
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 6, 2022 (3.6641772807994 yrs)
- Last Updated
- Dec 6, 2022
- License
-
APRN.CNP.0032777 (OH)
Practice Information
- Address
-
3535 PENTAGON BLVDBEAVERCREEK, OH, 454311705Browse OH providers · Browse ZIP 45431
- Phone
- 9377024000
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
Other Primary Care Nurse Practitioner Providers in BEAVERCREEK, OH
| Name | Credential | NPI |
|---|---|---|
| ZACHARY JAMES HALE | APRN, NP-C | 1356992028 |
| KRISTA DUCKLO | — | 1578202487 |
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.