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

Peggy Lynn Wallace, APRN

Individual provider Nurse Practitioner · NPI 1841862059

Peggy Lynn Wallace, APRN is a Nurse Practitioner in Layton, Utah. Qualified in 2021, 5 years ago. Practices with Catholic Health Initiatives Colorado, a 1,266-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
5
Licensed in
UT
In the registry since
2021
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

2132 N 1700 W Ste 100
Layton, UT 84041-7059
Phone: (801) 807-7900
Fax: (801) 807-7904
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 114266-4405 (UT)

Record details

NPI number1841862059
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedJuly 15, 2021
Last updated in NPPESJune 27, 2023
Certification dateJune 27, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Catholic Health Initiatives Colorado — 1266 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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