Kim Marie Wallace Np in Family Health Pllc

NPI #1336990019 in Sayville, New York

Provider Information

NPI Number
1336990019
Entity Type
Organization
Organization Name
Kim Marie Wallace Np in Family Health Pllc
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Mar 29, 2024
Last Updated
Mar 29, 2024

Practice Location

Address
20 DUNN CT
ZIP Code
11782-2002
Phone
(631) 375-4211

Authorized Official

Name
MRS. KIM MARIE WALLACE-SCHLICK, FNP-C
Title
FNP
Phone
(631) 375-4211

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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