Louwanna Marie Wallace, CNP | |
112 W Madison Ave, Chrisman, IL 61924-1118 | |
(217) 269-2394 | |
(217) 269-2438 |
Full Name | Louwanna Marie Wallace |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 112 W Madison Ave, Chrisman, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649304882 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Louwanna Marie Wallace, CNP 112 W Madison Ave, Chrisman, IL 61924-1118 Ph: (217) 269-2394 | Louwanna Marie Wallace, CNP 112 W Madison Ave, Chrisman, IL 61924-1118 Ph: (217) 269-2394 |
Kristina A. Gabbard, APRN FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 W Madison Ave, Chrisman, IL 61924 Phone: 217-269-2394 | |
Danielle Ireland, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 W Madison Ave, Chrisman, IL 61924 Phone: 217-269-2394 Fax: 217-269-2438 |