Charlesetta Wallace, APRN, CNM
NPI #1114896032 in Bloomington, Illinois
Provider Information
- NPI Number
- 1114896032
- Entity Type
- Individual
- Name
- Charlesetta Wallace, APRN, CNM
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Advanced Practice Midwife
- Credential
- APRN, CNM
- Enumeration Date
- Oct 30, 2025
- Last Updated
- Oct 30, 2025
Practice Location
- Address
- 2111 E OAKLAND AVE STE B
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-5783
- Phone
- (309) 808-3068
Specialties & Taxonomy Codes
| Specialty |
|---|
| Advanced Practice Midwife |
Similar Providers
| Provider Name | |
|---|---|
| Cassandra Fife, APRN |  AI Deep Dive |
| Angie Detwiler, CNM | AI Deep Dive |
| Lauren Heidenreich | AI Deep Dive |
| Michaela R Kane | AI Deep Dive |
| Bethany Ann Bradley, CNM | AI Deep Dive |
Want to research this healthcare provider further?