Individual provider · Type 1 NPI
Ladawna Rae Wallace, FNP
Family Nurse Practitioner · Show Low, AZ
NPI number
1174478952
Active
Practice location
4951 S White Mountain Rd Bldg A
Show Low, AZ 85901-7827
Fax (928) 532-2159
Other practice locations
- 2051 Evergreen Ln, Show Low, AZ 85901-7928 · (928) 457-1200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 227454 (AZ) |
Family Nurse Practitioner: Definition to come...
44 other providers at this address
- Summit Healthcare Medical AssociatesFamily Medicine Physician Show Low, AZ NPI 1467878108
- Summit Healthcare Medical AssociatesRural Health Clinic/Center Show Low, AZ NPI 1942701693
- Aaron John Done, MDOtolaryngology Physician Show Low, AZ NPI 1467080242
- Benjamin Russell Richardson, DOObstetrics & Gynecology Physician Show Low, AZ NPI 1215222013
- Brady Thomas Mannett, DONeurology Physician Show Low, AZ NPI 1932603032
- Brian Ellis ParontoFamily Nurse Practitioner Show Low, AZ NPI 1922501378
- Brian Michael Wood, PA-CPhysician Assistant Show Low, AZ NPI 1396471348
- Brian William Goodman, DOFamily Medicine Physician Show Low, AZ NPI 1497165732
- Burke Delange, DOVascular Surgery Physician Show Low, AZ NPI 1801866876
- Chase C. Adams, DOFamily Medicine Physician Show Low, AZ NPI 1437847621
- Constance L. Collman, FNPFamily Nurse Practitioner Show Low, AZ NPI 1174187546
- Courtney Ann Mackinnon, WHNP-BCWomen's Health Nurse Practitioner Show Low, AZ NPI 1861023921
Other family nurse practitioner providers in Show Low
- Alison Iverson, NPFamily Nurse Practitioner Show Low, AZ NPI 1003570128
- Kelly Curiel, FNPFamily Nurse Practitioner Show Low, AZ NPI 1043673262
- Raelynn M. Musick, N.P.Family Nurse Practitioner Show Low, AZ NPI 1073946562
- Katheryn M. Johnston, FNP-CFamily Nurse Practitioner Show Low, AZ NPI 1083262620
- Tabatha GraceFamily Nurse Practitioner Show Low, AZ NPI 1104402338
- Deepa Khari, FNP-CFamily Nurse Practitioner Show Low, AZ NPI 1124547252
- Lyndsay Leigh Rebecca Funk-Purcell, NPFamily Nurse Practitioner Show Low, AZ NPI 1124784657
- Timothy R. Penniston, FNP-CFamily Nurse Practitioner Show Low, AZ NPI 1144243692
About NPI 1174478952
Ladawna Rae Wallace, FNP's National Provider Identifier is 1174478952, issued on Feb 26, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Show Low, AZ. The record was last updated on Jun 2, 2026.