Donnetta Lynn Wallace
NPI #1922436914 in Monticello, Minnesota
Provider Information
- NPI Number
- 1922436914
- Entity Type
- Individual
- Name
- Donnetta Lynn Wallace
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Oct 29, 2013
- Last Updated
- Nov 30, 2023
Practice Location
- Address
- 1001 HART BLVD STE 100
- City
- Monticello
- State
- Minnesota
- ZIP Code
- 55362-8929
- Phone
- (763) 295-2921
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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