Bridget Rena Wallace
Bridget Rena Wallace is a Registered Nurse in Springfield, Missouri. Licensed in Missouri. Registered with an NPI since 2022.
- Licensed in
- MO
- In the registry since
- 2022
Practice location Address checks out
2626 W College RdSpringfield, MO 65802-4637
Phone: (417) 869-8086
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Nurse (primary) | Taxonomy 163W00000X · Licence 2006004371 (MO) |
|---|
Record details
| NPI number | 1760110142 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 12, 2022 |
| Last updated in NPPES | August 12, 2022 |
| Certification date | August 12, 2022 |
| Mailing address | 1601 Old South River Rd, Saint Charles, MO 63303-4120 |
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