JUDITH MARY WALLACE

LOUISVILLE, CO
NPI1922210343
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LN0005X Nurse Practitioner, Neonatal, Critical Care
(Licence: CO  96216)
Enumeration Date2007-05-06
Last Update Date2007-07-08
Business Address
Ms. JUDITH MARY WALLACE RXN,NP
100 HEALTH PARK DR
LOUISVILLE, CO 80027-9583
Phone number: 303-673-1102
Mailing Address
Ms. JUDITH MARY WALLACE RXN,NP
31371 LOGES LN
EVERGREEN, CO 80439-9460
Phone number: 303-674-7603