Individual provider · Type 1 NPI

Donnetta Lynn Wallace

Family Nurse Practitioner · Monticello, MN

NPI number 1922436914 Active

Practice location

1001 Hart Blvd Ste 100
Monticello, MN 55362-8929

Fax (763) 581-9090

Mailing address

1700 Highway 25 N
Buffalo, MN 55313-1930

Other practice locations

  • 1700 Highway 25 N, Buffalo, MN 55313-1930 · (763) 684-3678

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XR 151800-9 (MN)

Family Nurse Practitioner: Definition to come...

23 other providers at this address

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About NPI 1922436914

Donnetta Lynn Wallace's National Provider Identifier is 1922436914, issued on Oct 29, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Monticello, MN. The record was last updated on Oct 22, 2026.