Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATIE JUSTINE WALLACE, FNP-BC
ActiveKATIE JUSTINE WALLACE, FNP-BC is a Family Nurse Practitioner healthcare provider located in MASHPEE, Massachusetts. NPI 1790151967 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · MASHPEE, MA
Registration Details
- NPI Number
- 1790151967
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 11, 2015 (10.969178439419 yrs)
- Last Updated
- Jan 4, 2016
- Licenses
-
RN2264353 (MA)RN2264353 (MA)
Practice Information
- Address
-
MASHPEE FAMILY MEDICINE 5 INDUSTRIAL DRIVESUITE 100MASHPEE, MA, 02649Browse MA providers · Browse ZIP 02649
- Phone
- 5084774282
- Fax
- 5085396134
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in MASHPEE, MA
| Name | Credential | NPI |
|---|---|---|
| MRS. SHARON CICCHETTI ROUSSEAU | FNP | 1538105903 |
| MR. KYLE C CHAPLIC | NP-C | 1730444936 |
| MRS. KELSEY ANNE SIMM | DNP | 1376936815 |
| LEANN LYNN SWANSON | FNP-BC | 1740651215 |
| KAREN GAUVIN | RN | 1619492923 |
| EMILY ELGERT | FNP-BC | 1336791680 |
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.