Individual
LADAWNA RAE WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2051 EVERGREEN LN, SHOW LOW, AZ 85901-7928
(928) 457-1200
Mailing address
2051 EVERGREEN LN, SHOW LOW, AZ 85901-7928
(928) 457-1200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
227454
AZ
Other
Enumeration date
02/26/2026
Last updated
02/26/2026
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