Individual provider · Type 1 NPI
Sara S. Wallis, AGACNP
Acute Care Nurse Practitioner · Decatur, IL
NPI number
1912760141
Active
Practice location
2300 N Edward St
Decatur, IL 62526-4163
Fax (217) 876-4209
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 209029068 (IL) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1912760141
Sara S. Wallis, AGACNP's National Provider Identifier is 1912760141, issued on Jan 31, 2024. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Decatur, IL. The record was last updated on Sep 25, 2024.