Individual provider · Type 1 NPI

Margaret A. Wallace, FNP

Family Nurse Practitioner · Creve Coeur, MO

NPI number 1689691115 Active

Practice location

1044 N Mason Rd, Dept Otolaryngology, Ste L20
Creve Coeur, MO 63141-6431

Call (314) 362-7509 Map

Fax (314) 362-7522

Mailing address

PO Box 7412011
Chicago, IL 60674-2011

Specialties and licenses

Taxonomy	Code	License
Clinical Nurse Specialist	364S00000X	073145 (MO)
Family Nurse Practitioner Primary	363LF0000X	073145 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1689691115

Margaret A. Wallace, FNP's National Provider Identifier is 1689691115, issued on Jul 17, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Creve Coeur, MO. The record was last updated on Nov 17, 2025.