Individual provider · Type 1 NPI
Bonnie Leigh Wallace, FNP-C
Family Nurse Practitioner · Herriman, UT
NPI number
1871316372
Active
Practice location
12573 S Liberty Hill Ct
Herriman, UT 84096-7774
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 7682759-4405 (UT) |
Family Nurse Practitioner: Definition to come...
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About NPI 1871316372
Bonnie Leigh Wallace, FNP-C's National Provider Identifier is 1871316372, issued on Nov 4, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Herriman, UT. The record was last updated on Nov 4, 2024.