1366486417 Mrs. Phyllis A Wallace, APRN

Family Nurse Practitioner

Active

Basic Information

Full Name
Mrs. Phyllis A Wallace, APRN
Gender
Female
Enumeration Date
June 16, 2006
Last Update
November 22, 2021

Practice Location

Address
527 W 3RD ST
KONAWA, OK 748491415
Phone
(580) 925-3286
Fax
(580) 925-9149

Mailing Address

Address
527 W 3RD ST
KONAWA, OK 748491415
Phone
(580) 925-3286
Fax
(580) 925-9149

Specialties & Taxonomies

Specialty Code Classification License State Primary
Women's Health Nurse Practitioner
Women's Health
363LW0102X Nurse Practitioner R0035497 OK No
Family Nurse Practitioner
Family
363LF0000X Nurse Practitioner 35497 OK Primary

Other Identifiers

Identifier Type State Issuer
100155800A 05 OK N/A
100155800B 01 OK SOONERCARE PROVIDER

Frequently Asked Questions

What is Mrs. Phyllis A Wallace, APRN's NPI number?
Mrs. Phyllis A Wallace, APRN's NPI number is 1366486417.
Which doctor has NPI number 1366486417?
The doctor with NPI number 1366486417 is Mrs. Phyllis A Wallace, APRN.
What is Mrs. Phyllis A Wallace, APRN's practice address?
Mrs. Phyllis A Wallace, APRN's practice address is 527 W 3RD ST, KONAWA, OK, 748491415.
Which doctor practices at 527 W 3RD ST, KONAWA, OK, 748491415?
Mrs. Phyllis A Wallace, APRN practices at 527 W 3RD ST, KONAWA, OK, 748491415.
What is Mrs. Phyllis A Wallace, APRN's phone number?
Mrs. Phyllis A Wallace, APRN's phone number is (580) 925-3286.
Who is (580) 925-3286?
(580) 925-3286 is the phone number for Mrs. Phyllis A Wallace, APRN.
What is Mrs. Phyllis A Wallace, APRN's specialty?
Mrs. Phyllis A Wallace, APRN's specialty is Family Nurse Practitioner.
What type of doctor is Mrs. Phyllis A Wallace, APRN?
Mrs. Phyllis A Wallace, APRN is a Family Nurse Practitioner.
Is Mrs. Phyllis A Wallace, APRN a Family?
Yes, Mrs. Phyllis A Wallace, APRN is a Family.
Is Mrs. Phyllis A Wallace, APRN still practicing?
Yes, Mrs. Phyllis A Wallace, APRN is currently practicing.
Is Mrs. Phyllis A Wallace, APRN accepting new patients?
Mrs. Phyllis A Wallace, APRN may be accepting new patients. Please call their office at (580) 925-3286 to inquire about availability.
Is NPI 1366486417 still active?
Yes, NPI 1366486417 is currently active.
Where does Mrs. Phyllis A Wallace, APRN practice?
Mrs. Phyllis A Wallace, APRN practices in KONAWA, OK.
Is Mrs. Phyllis A Wallace, APRN a male or female doctor?
Mrs. Phyllis A Wallace, APRN is a female doctor.