Louwanna Marie Wallace, CNP

NPI #1649304882 in Chrisman, Illinois

Provider Information

NPI Number
1649304882
Entity Type
Individual
Name
Louwanna Marie Wallace, CNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
CNP
Enumeration Date
Mar 16, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
112 W MADISON AVE
ZIP Code
61924-1118
Phone
(217) 269-2394

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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