Individual provider · Type 1 NPI

Louwanna Marie Wallace, CNP

Family Nurse Practitioner · Chrisman, IL

NPI number 1649304882 Active

About NPI 1649304882

Louwanna Marie Wallace, CNP's National Provider Identifier is 1649304882, issued on Mar 16, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chrisman, IL. The record was last updated on Jul 8, 2007.