Wallace, Cinda Lou

Wallace, Cinda Lou is an individual health care provider with primary practice located at 1101 Moulton And Parsons Dr , Saint James MN 56081-5550. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wallace, Cinda Lou can be contacted via phone (507) 375-3261.

Contact Information

Primary practice address
1101 Moulton And Parsons Dr Saint James MN 56081-5550
Phone: (507) 375-3261
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R0804730 Minnesota

Profile Details

NPI number 1003899535
LBN Legal business name Wallace, Cinda Lou
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Jan 10th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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