Individual provider · Type 1 NPI

Judith Mary Wallace, RXN, NP

Critical Care Neonatal Nurse Practitioner · Louisville, CO

NPI number 1922210343 Active

Practice location

100 Health Park Dr
Louisville, CO 80027-9583

Mailing address

31371 Loges Ln
Evergreen, CO 80439-9460

Specialties and licenses

TaxonomyCodeLicense
Critical Care Neonatal Nurse Practitioner Primary 363LN0005X96216 (CO)

Critical Care Neonatal Nurse Practitioner: Definition to come...

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About NPI 1922210343

Judith Mary Wallace, RXN, NP's National Provider Identifier is 1922210343, issued on May 6, 2007. The primary taxonomy on file is Critical Care Neonatal Nurse Practitioner (363LN0005X), and the practice location is in Louisville, CO. The record was last updated on Jul 8, 2007.