Individual provider · Type 1 NPI

Katherine C. Wallace, APRN, FNP-BC

Family Nurse Practitioner · Marlborough, CT

NPI number 1114821618 Active

About NPI 1114821618

Katherine C. Wallace, APRN, FNP-BC's National Provider Identifier is 1114821618, issued on Oct 7, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Marlborough, CT. The record was last updated on Oct 7, 2026.