Individual provider · Type 1 NPI

Amy M. Wallace, APRN, NNP-BC

Neonatal Nurse Practitioner · Lexington, KY

NPI number 1104178052 Active

Practice location

800 Rose St Fl 4
Lexington, KY 40536-0001

Fax (859) 257-1632

Mailing address

800 Rose St, 4th Floor
Lexington, KY 40536-0001

Specialties and licenses

TaxonomyCodeLicense
Critical Care Neonatal Nurse Practitioner 363LN0005X3007721 (KY)
Neonatal Nurse Practitioner Primary 363LN0000X3007721 (KY)

Neonatal Nurse Practitioner: Definition to come...

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About NPI 1104178052

Amy M. Wallace, APRN, NNP-BC's National Provider Identifier is 1104178052, issued on Oct 2, 2012. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Lexington, KY. The record was last updated on Jun 6, 2024.