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

BONNIE LEIGH WALLACE, FNP-C

Active Sole Proprietor

BONNIE LEIGH WALLACE, FNP-C is a Family Nurse Practitioner healthcare provider located in HERRIMAN, Utah. NPI 1871316372 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · HERRIMAN, UT

Registration Details

NPI Number
1871316372
Provider Type
Individual
Gender
Female
NPI Issued
Nov 4, 2024 (1.7648607475344 yrs)
Last Updated
Nov 4, 2024
License
7682759-4405 (UT)
Sole Proprietor
Yes

Practice Information

Address
12573 S LIBERTY HILL CT
HERRIMAN, UT, 840967774
Browse UT providers · Browse ZIP 84096
Phone
8016904899
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in HERRIMAN, UT

Name Credential NPI
KIRT W LARSON MSN,FNP-C 1053576504
MS. ELYSE S BORHA BSN, MSN, FNP-BC 1073155594
JENNIFER LYNN ARNDT APRN 1861029688
TYSON WILLIAM CATMULL NP-C 1710638374
NANCY DIANE CARTER FNP 1851023634
BRETT MORGAN CLEMENT DNP, APRN, FNP-C 1710613732
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.