Individual
CATHERINE WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12339 STRATFORD DR, CLIVE, IA 50325-8148
(515) 263-9107
(515) 265-9888
Mailing address
12339 STRATFORD DR, CLIVE, IA 50325-8148
(515) 263-9107
(515) 265-9888
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
A106126
IA
363LP1700X
Perinatal Nurse Practitioner
A106126
IA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
A106126
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033200431
—
IA
01
—
IA0104
JOHN DEERE
IA
Enumeration date
09/28/2006
Last updated
07/28/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us