Individual
VERONICA WALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(440) 370-4378
Mailing address
1629 TINKERS VIEW DR, TWINSBURG, OH 44087-1129
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
025169
OH
363LF0000X
Family Nurse Practitioner
F341338-1
NY
Other
Enumeration date
03/16/2017
Last updated
06/28/2020
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