Amanda Gail Wallace
NPI #1154844041 in West Union, Ohio
Provider Information
- NPI Number
- 1154844041
- Entity Type
- Individual
- Name
- Amanda Gail Wallace
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jul 21, 2017
- Last Updated
- May 5, 2023
Practice Location
- Address
- 247 CIC BLVD
- City
- West Union
- State
- Ohio
- ZIP Code
- 45693-7512
- Phone
- (513) 941-4999
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Registered Nurse |
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