Individual provider · Type 1 NPI

Rebecca Wallace, APRN

Family Nurse Practitioner · Salt Lake City, UT

NPI number 1104810134 Active

Practice location

3838 S 700 E, Suite 200
Salt Lake City, UT 84106-1466

Call (801) 261-4988 Map

Fax (801) 269-9427

Mailing address

1837 Hollywood Ave
Salt Lake City, UT 84108-3103

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X216162-4405 (UT)

Family Nurse Practitioner: Definition to come...

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About NPI 1104810134

Rebecca Wallace, APRN's National Provider Identifier is 1104810134, issued on Sep 6, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Salt Lake City, UT. The record was last updated on Nov 24, 2008.