MRS. Laura Wallace, ARNP
NPI #1144262197 in Clearwater, Florida
Provider Information
- NPI Number
- 1144262197
- Entity Type
- Individual
- Name
- MRS. Laura Wallace, ARNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- ARNP
- Enumeration Date
- Jun 12, 2006
- Last Updated
- Oct 26, 2012
Practice Location
- Address
- 455 PINELLAS ST
- Address 2
- SUITE #400
- City
- Clearwater
- State
- Florida
- ZIP Code
- 33756-3354
- Phone
- (727) 445-1911
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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