Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katie Wallace

Individual provider Registered Nurse · NPI 1962394049

Katie Wallace is a Registered Nurse in Wellington, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2025

Practice location Address checks out

917 Cedar Cove Rd
Wellington, FL 33414-6305
Phone: (561) 635-0903
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 9565667 (FL)

Record details

NPI number1962394049
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 15, 2025
Last updated in NPPESJuly 15, 2025
Certification dateJuly 15, 2025
Mailing address917 Cedar Cove Rd, Wellington, FL 33414-6305

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