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Contact Information

AMY M WALLACE, APRN, NNP-BC
800 ROSE ST FL 4
LEXINGTON, KY40536-0001
 Phone: 859-218-2581
 Fax: 859-257-1632
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal

363LN0000X 50 Nurse Practitioner
 

Neonatal, Critical Care

363LN0005X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for AMY M WALLACE · (Female)

NPI Number 1104178052
Status Active
Credentials APRN, NNP-BC
Entity Individual
Enumeration date 10/02/2012
Last updated 06/06/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • KY License # 3007721
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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