Individual provider · Type 1 NPI

Meredith Elise Wallace, CNP

Nurse Practitioner · Cleveland, OH

NPI number 1659869329 Active

Practice location

9500 Euclid Ave
Cleveland, OH 44195-0001

Mailing address

3102 Wheaton Dr
Avon, OH 44011-5731

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X022622 (OH)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1659869329

Meredith Elise Wallace, CNP's National Provider Identifier is 1659869329, issued on Apr 27, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Cleveland, OH. The record was last updated on Apr 27, 2018.