Individual
HEIDI CHRISTINE WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP, CNM
Contact information
Practice address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
(360) 814-5892
(360) 848-4596
Mailing address
3958 BYRON AVE APT 206, BELLINGHAM, WA 98229-2870
(406) 256-6148
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
AP61581513
WA
Other
Enumeration date
07/29/2024
Last updated
10/10/2024
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