Wallace, Catherine

Wallace, Catherine is an individual health care provider with primary practice located at 1250 E 9Th St , Des Moines IA 50316-2316. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Perinatal. Physician Assistants & Advanced Practice Nursing Providers / Perinatal is her primary health care specialty. Wallace, Catherine can be contacted via phone (515) 263-2600.

Contact Information

Primary practice address
1250 E 9Th St Des Moines IA 50316-2316
Phone: (515) 263-2600
Fax: (515) 263-2620
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X A106126 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Perinatal 363LP1700X A106126 Iowa

Profile Details

NPI number 1033200431
LBN Legal business name Wallace, Catherine
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Apr 30th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033200431 NPPES
Iowa MEDICAID 1033200431
Iowa Other IA0104

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