Individual provider · Type 1 NPI
Kimberly Lane Wallace, NP-C
Primary Care Nurse Practitioner · Beavercreek, OH
NPI number
1619688116
Active
Practice location
3535 Pentagon Blvd
Beavercreek, OH 45431-1705
Mailing address
935 Salem St
Brookville, OH 45309-8225
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | APRN.CNP.0032777 (OH) |
Primary Care Nurse Practitioner: Definition to come...
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- Adelaide Omane, CRNACertified Registered Nurse Anesthetist Beavercreek, OH NPI 1033990478
- Adrienne Elizabeth Belcher, RNCertified Registered Nurse Anesthetist Beavercreek, OH NPI 1598446775
- Allyson Michelle Blakemore, APRN AG-ACNPAcute Care Nurse Practitioner Beavercreek, OH NPI 1508543141
- Andrew Marc MoorePhysician Assistant Beavercreek, OH NPI 1710462734
Other primary care nurse practitioner providers in Beavercreek
About NPI 1619688116
Kimberly Lane Wallace, NP-C's National Provider Identifier is 1619688116, issued on Dec 6, 2022. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Beavercreek, OH. The record was last updated on Dec 6, 2022.