HOLLY A WALLACE

SUMMIT, WI
NPI1124660592
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: WI  9679)
Enumeration Date2019-10-17
Last Update Date2025-10-24
Business Address
HOLLY A WALLACE APNP
36500 AURORA DR
SUMMIT, WI 53066-4899
Phone number: 262-434-1000
Mailing Address
HOLLY A WALLACE APNP
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 800-326-2250