Individual
CYNTHIA JANE WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
6 LEXINGTON BLVD, DELAWARE, OH 43015-1047
(740) 363-9021
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.364218
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0030176
OH
Other
Enumeration date
09/29/2010
Last updated
03/23/2022
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