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Donnetta L. Wallace

Family NP · Monticello, MN

UnclaimedNPI 1922436914
Primary taxonomy
363LF0000X
Enumerated
2013-10-29
Practice location
Monticello, MN
Last NPPES update
2026-10-22

State licenses

  • MN · 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.