IndividualActive
Kathy Wallace, RNFA
NPI 1720294572 · Registered Nurse First Assistant · Cape Girardeau, MO
Provider details
- NPI number
- 1720294572
- Entity type
- Individual
- Primary specialty
- Registered Nurse First AssistantNursing Service Providers
- Credential
- RNFA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 092317 (MO)
Specialties & taxonomies
Nursing Service Providers
Practice location
211 Saint Francis Dr
Cape Girardeau, MO 63703-5049
Phone: (573) 331-5150
Approximate (ZIP-level) locationGet directions
Mailing address
6610 State Highway H
Benton, MO 63736-9769
Registry dates
- Enumerated
- 2007-05-15
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.