IndividualActive
Amber Wallace, NP
NPI 1679716534 · Neonatal Nurse Practitioner · South Bend, IN
Provider details
- NPI number
- 1679716534
- Entity type
- Individual
- Primary specialty
- Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 71002921A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
615 N Michigan St 1st Fl Hospitalist Ste
South Bend, IN 46601-1033
Phone: (574) 647-3050
Fax: (574) 647-1094
Approximate (ZIP-level) locationGet directions
Mailing address
3245 Health Dr Ste 100
Granger, IN 46530-1380
Registry dates
- Enumerated
- 2009-04-08
- Last updated
- 2023-04-28
- Certified
- 2023-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.