Individual
SAVANNAH WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, APNP
Contact information
Practice address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
Mailing address
515 S MIDVALE BLVD APT 418, MADISON, WI 53711-1472
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F10230571
WI
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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