Individual
NAKKIA WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
601 HIGHWAY 6 W, IOWA CITY, IA 52246-2209
(319) 338-0581
Mailing address
5247 N RIVER BLVD NE APT 8, CEDAR RAPIDS, IA 52411-7883
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
169565
IA
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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