Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DONNETTA LYNN WALLACE
ActiveDONNETTA LYNN WALLACE is a Family Nurse Practitioner healthcare provider located in MONTICELLO, Minnesota. NPI 1922436914 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · MONTICELLO, MN
Registration Details
- NPI Number
- 1922436914
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 29, 2013 (12.752089554903 yrs)
- Last Updated
- Nov 30, 2023
- License
-
R 151800-9 (MN)
Practice Information
- Address
-
1001 HART BLVD STE 100MONTICELLO, MN, 553628929Browse MN providers · Browse ZIP 55362
- Phone
- 7632952921
- Fax
- 7635819090
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in MONTICELLO, MN
| Name | Credential | NPI |
|---|---|---|
| MARY BETH NEISEN | FNP-BC | 1861703548 |
| KASY LYNN OMANN | CNP | 1477995272 |
| LYNN LAMPI | FNP | 1801202932 |
| KELSEY J KING | APRN, CNP | 1568845238 |
| MRS. KRISTY PETERFESO | APRN, CNP | 1598140881 |
| CHRISTOPHER DOUGLAS ELNESS | APRN CNP | 1649622200 |
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.