Individual
MS. MEREDITH M WALLIS
Active
Individual
MS. MEREDITH M WALLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM, ANP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
33265
AK
363LW0102X
Women's Health Nurse Practitioner
1247
AK
367A00000X
Advanced Practice Midwife
Primary
1247
AK
Other
Enumeration date
08/24/2011
Last updated
09/02/2016
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