STEPHANIE P WALLACE

LOUISVILLE, KY
NPI1730419599
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: KY  3006327)
Enumeration Date2009-12-30
Last Update Date2013-04-25
Business Address
-- STEPHANIE P WALLACE APRN
9800 SHELBYVILLE RD SUITE #220
LOUISVILLE, KY 40223-2992
Phone number: 502-429-8585
Mailing Address
-- STEPHANIE P WALLACE APRN
9800 SHELBYVILLE RD SUITE #220
LOUISVILLE, KY 40223-2992
Phone number: 502-429-8585
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