Search › Utah › 363LF0000X
Bonnie Wallace, FNP-C
NPI 1871316372 · on the registry since 2024 · sole proprietor
Practice
- Address
- 12573 S Liberty Hill Ct
Herriman, UT 84096 - Phone
- (801) 690-4899
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-11-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah