Individual provider · Type 1 NPI

Amanda Wallace, APRN

Obstetrics & Gynecology Physician · Appleton, WI

NPI number 1992408587 Active

Practice location

1531 S Madison St Fl 3
Appleton, WI 54915-1800

Call (920) 749-4000 Map

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000XAPRN11024430 (WI)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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About NPI 1992408587

Amanda Wallace, APRN's National Provider Identifier is 1992408587, issued on Mar 23, 2023. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Appleton, WI. The record was last updated on Oct 8, 2025.