Cinda Lou Wallace is a Family in Mankato, Minnesota. Cinda Lou Wallace practices all healthcare services and medical treatments related to Family. The NPI Number for Cinda Lou Wallace is 1003899535. The last update date is 2021-01-10.
Cinda Lou Wallace's current location address is 1025 Marsh St, Mankato, Minnesota. You can contact this provider via phone number 5076254031. The mailing address for Cinda Lou Wallace is 1025 Marsh St, Mankato, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cinda Lou Wallace |
|---|---|
| Address | 1025 Marsh St, Mankato, Minnesota |
| Phone Number | 5076254031 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1003899535 |
|---|---|
| Provider Enumeration Date | 2005-11-29 |
| Last Updated Date | 2021-01-10 |
Provider Mailing Address Detail
| Address | 1025 Marsh St |
|---|---|
| City | Mankato |
| State | Minnesota (MN) |
| Post Code | 560014752 |
| Phone Number | 5076254031 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | R0804730 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Cinda Lou Wallace by the Centers for Medicare & Medicaid Services?
The Cinda Lou Wallace has been issued the NPI (National Provider Identifier) 1003899535 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Cinda Lou Wallace's facilities are situated?
The facilities of Cinda Lou Wallace are physically located at the following address: 1025 Marsh St, Mankato, MN, 560014752.
What is Cinda Lou Wallace's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Cinda Lou Wallace is Family, and the taxonomy code that categorizes this field of expertise is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1003899535 to Cinda Lou Wallace?
The Centers for Medicare & Medicaid Services originally issued the 1003899535 to Cinda Lou Wallace on 2005-11-29.
As of what date was the information pertaining to Cinda Lou Wallace, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Cinda Lou Wallace, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-01-10.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN