Individual provider · Type 1 NPI
Laura Ann Wallace, A.P.N
Primary Care Nurse Practitioner · Pilot Knob, MO
NPI number
1265737753
Active
Practice location
301 N Highway 21
Pilot Knob, MO 63663-7862
Fax (573) 546-8067
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 2010037004 (MO) |
Primary Care Nurse Practitioner: Definition to come...
4 other providers at this address
- Iron County Hospital DistrictRural Health Clinic/Center Pilot Knob, MO NPI 1073799367
- Iron County Hospital DistrictCritical Access Hospital Pilot Knob, MO NPI 1477648178
- Shepherd Mountain Emergency PhysiciansEmergency Medicine Physician Pilot Knob, MO NPI 1740437995
- Jessica Dawn Nichols, FNPFamily Nurse Practitioner Pilot Knob, MO NPI 1760058739
About NPI 1265737753
Laura Ann Wallace, A.P.N's National Provider Identifier is 1265737753, issued on Jan 14, 2011. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Pilot Knob, MO. The record was last updated on Aug 7, 2025.