CHERRY WALLACE
Gerontology Nurse Practitioner · SAINT LOUIS, MO
Individual Active NPI 1013886456
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | ✓ | 2025047590 | MO |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- No
Other Gerontology Nurse Practitioner providers in Missouri
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See all Gerontology Nurse Practitioner providers in Missouri →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.