Individual provider · Type 1 NPI
Gayle M. Wallace, ARNP
Women's Health Nurse Practitioner · Davenport, IA
NPI number
1679552871
Active
Practice location
3385 Dexter Ct, Ste 110
Davenport, IA 52807-3494
Fax (563) 344-6701
Mailing address
200 Hawkins Dr
Iowa City, IA 52242-1009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Women's Health Nurse Practitioner Primary | 363LW0102X | B096425 (IA) |
Women's Health Nurse Practitioner: Definition to come...
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About NPI 1679552871
Gayle M. Wallace, ARNP's National Provider Identifier is 1679552871, issued on Jan 16, 2006. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Davenport, IA. The record was last updated on Feb 13, 2013.