Bonnie Leigh Wallace, FNP-C

NPI #1871316372 in Herriman, Utah

Provider Information

NPI Number
1871316372
Entity Type
Individual
Name
Bonnie Leigh Wallace, FNP-C
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Family
Credential
FNP-C
Enumeration Date
Nov 4, 2024
Last Updated
Nov 4, 2024

Practice Location

Address
12573 S LIBERTY HILL CT
State
Utah
ZIP Code
84096-7774
Phone
(801) 690-4899

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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