Individual provider · Type 1 NPI

Cinda Lou Wallace, NP

Family Nurse Practitioner · St. James, MN

NPI number 1003899535 Active

Practice location

1101 Moulton And Parsons Dr
St. James, MN 56081-5550

Mailing address

1025 Marsh St
Mankato, MN 56001-4752

Other practice locations

  • 115 Drew Ave SE, Madelia, MN 56062-1841 · (507) 642-3241

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XR0804730 (MN)

Family Nurse Practitioner: Definition to come...

23 other providers at this address

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About NPI 1003899535

Cinda Lou Wallace, NP's National Provider Identifier is 1003899535, issued on Nov 29, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. James, MN. The record was last updated on Jan 10, 2021.