Individual provider · Type 1 NPI
Gail Ann Wallace
Adult Health Nurse Practitioner · Duluth, MN
NPI number
1700966603
Active
Practice location
400 E 3rd St
Duluth, MN 55805-1951
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | R096951-0 (MN) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1700966603
Gail Ann Wallace's National Provider Identifier is 1700966603, issued on Oct 16, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Duluth, MN. The record was last updated on Apr 29, 2011.