Amy D Wallis, FNP
NPI #1275598864 in Fort Madison, Iowa
Provider Information
- NPI Number
- 1275598864
- Entity Type
- Individual
- Name
- Amy D Wallis, FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP
- Enumeration Date
- Apr 18, 2006
- Last Updated
- Oct 6, 2011
Practice Location
- Address
- 5409 AVENUE O
- City
- Fort Madison
- State
- Iowa
- ZIP Code
- 52627-9601
- Phone
- (319) 376-2134
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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