| Amanda Wallace, AAS, LPN | |
|
2101 Elm St N, Fargo, ND 58102-2417 | |
| (701) 239-3700 | |
| Not Available |
| Full Name | Amanda Wallace |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 2101 Elm St N, Fargo, North Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760205835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | L12882 (North Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Wallace, AAS, LPN 2101 Elm St N, Fargo, ND 58102-2417 Ph: (701) 239-3700 | Amanda Wallace, AAS, LPN 2101 Elm St N, Fargo, ND 58102-2417 Ph: (701) 239-3700 |
Laura Jo Utke, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2101 Elm St N, Fargo, ND 58102 Phone: 701-232-3241 | |
Ashley Bessette, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2101 Elm St N, Fargo, ND 58102 Phone: 701-239-3700 | |
Lauren Mertes, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2101 Elm St N, Fargo, ND 58102 Phone: 701-239-3700 | |
Katie Marie Rodacker-bartch, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1240 25th St S, Fargo, ND 58103 Phone: 701-271-2937 | |
Tracy Kathleen Walker, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2101 Elm St N, Fargo, ND 58102 Phone: 701-232-3241 | |
Siobhan Benser, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2101 Elm St N, Fargo, ND 58102 Phone: 701-239-3700 | |
Elizabeth Anderson, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2101 Elm St N, Fargo, ND 58102 Phone: 701-232-3241 |