Individual provider · Type 1 NPI

Amber Michelle Wallace, NP

Neonatal Nurse Practitioner · South Bend, IN

NPI number 1679716534 Active

Practice location

615 N Michigan St 1st Fl Hospitalist Ste
South Bend, IN 46601-1033

Call (574) 647-3050 Map

Fax (574) 647-1094

Mailing address

3245 Health Dr Ste 100
Granger, IN 46530-1380

Specialties and licenses

TaxonomyCodeLicense
Neonatal Nurse Practitioner Primary 363LN0000X71002921A (IN)

Neonatal Nurse Practitioner: Definition to come...

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About NPI 1679716534

Amber Michelle Wallace, NP's National Provider Identifier is 1679716534, issued on Apr 8, 2009. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in South Bend, IN. The record was last updated on Apr 28, 2023.