Individual
KRISTEN MEREDITH WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
830 5TH AVE STE 202, CHAMBERSBURG, PA 17201-4224
(717) 709-7990
(717) 709-7991
Mailing address
111 CHAMBERS HILL DR STE 200, CHAMBERSBURG, PA 17201-7304
(717) 709-7922
(717) 263-2055
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
SP032760
PA
367A00000X
Advanced Practice Midwife
Primary
MW010856
PA
Other
Enumeration date
01/27/2025
Last updated
05/05/2025
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