MRS. Phyllis A Wallace, APRN
NPI #1366486417 in Konawa, Oklahoma
Provider Information
- NPI Number
- 1366486417
- Entity Type
- Individual
- Name
- MRS. Phyllis A Wallace, APRN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- APRN
- Enumeration Date
- Jun 16, 2006
- Last Updated
- Nov 22, 2021
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Women's Health — Women's Health |
| Nurse Practitioner - Family — Family |
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