NPI 1144881640

Kimberly Veronica Wallace, CNMAPRN

Practitioner Advanced Practice Midwife Massillon, OH

Practice location

Address: 100 Lillian Gish Blvd SW STE 201, Massillon, OH 44647-6500
Phone: (330) 809-0460
Mailing address: 3574 Melrose Dr, Wooster, OH 44691-1857

Registered specialties

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence APRN.CNM.019392 (OH)

Other Advanced Practice Midwife providers in Ohio →

Registry record

NPI: 1144881640
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Jun 2019
Record last updated: 12 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.