Back to Search
PHYLLIS WALLACE, APRN
APRN
Family Nurse Practitioner
NPI: 1366486417IndividualAccepts Medicare
Specialties, Licenses & Credentials
Women's Health Nurse Practitioner
Nurse Practitioner — Women's Health
Code: 363LW0102X
R0035497(OK)
Family Nurse PractitionerPrimary
Nurse Practitioner — Family
Code: 363LF0000X
35497(OK)
Education
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Class of 2002
Contact & Hours
- Address
- 527 W 3RD ST
KONAWA, OK 74849 - Phone
- (580) 925-3286
Quick Facts
- NPI
- 1366486417
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 24
Are you this provider?
Claim Your Profile