Individual provider · Type 1 NPI

Nathasa Wallace, FNP

Family Nurse Practitioner · Harvey, IL

NPI number 1326420530 Active

Practice location

31 W 155th St
Harvey, IL 60426-3556

Fax (708) 596-5518

Other practice locations

  • 5906 N Milwaukee Ave, Chicago, IL 60646-5420 · (773) 774-7300

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209.012383 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1326420530

Nathasa Wallace, FNP's National Provider Identifier is 1326420530, issued on Jun 24, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Harvey, IL. The record was last updated on Jul 16, 2025.