Individual provider · Type 1 NPI

Amy Wallace, NP

Family Nurse Practitioner · Kalamazoo, MI

NPI number 1922472455 Active

Practice location

333 Portage St
Kalamazoo, MI 49007-4931

Call (269) 359-4407 Map

Fax (269) 290-7078

Mailing address

6678 Guernsey Lake Rd
Delton, MI 49046-9739

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704241734 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1922472455

Amy Wallace, NP's National Provider Identifier is 1922472455, issued on Nov 20, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kalamazoo, MI. The record was last updated on Mar 22, 2017.