Individual
MS. SARAH WALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN CNM WHNP-BC
Contact information
Practice address
14355 MIRANDA WAY, LOS ALTOS HILLS, CA 94022-2032
(888) 731-8994
(833) 775-1861
Mailing address
7990 N BECK RD, CANTON, MI 48187-1204
(732) 456-6262
(732) 626-6579
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
4704362422
MI
363LW0102X
Women's Health Nurse Practitioner
707787
CA
Other
Enumeration date
09/09/2011
Last updated
05/25/2023
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