Sonny S Wallace, NP
NPI #1164909339 in Omaha, Nebraska
Provider Information
- NPI Number
- 1164909339
- Entity Type
- Individual
- Name
- Sonny S Wallace, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- NP
- Enumeration Date
- Jul 20, 2018
- Last Updated
- Sep 20, 2018
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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