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

Laury M Wallace, NP

Individual provider Adolescent Medicine (Family Medicine) Physician · NPI 1205343845

Laury M Wallace, NP is an Adolescent Medicine (Family Medicine) Physician in Westfield, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2018
Specialties on file
4
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

16731 Gaither Blvd
Westfield, IN 46074-4607
Phone: (317) 561-6840
Fax: (812) 239-3771
Show map & directions

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

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X · Licence 71007724A (IN)
Adolescent Medicine (Family Medicine) Physician Taxonomy 207QA0000X · Licence 71007724A (IN)
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X · Licence 71007724A (IN)
Hospice and Palliative Medicine (Family Medicine) Physician Taxonomy 207QH0002X · Licence 71007724A (IN)

Record details

NPI number1205343845
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedJanuary 4, 2018
Last updated in NPPESJanuary 4, 2018
Mailing address16731 Gaither Blvd, Westfield, IN 46074-4421