Kathryn M. Wallace, APRN, BC
Nurse Practitioner · Portage, IN
UnclaimedAPRN, BCNPI 1407965320
- Primary taxonomy
- 363L00000X
- Enumerated
- 2006-08-30
- Practice location
- Portage, IN
- Last NPPES update
- 2012-09-17
State licenses
- IN · Nurse practitioner · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.