Ms. Cassandra Marie Wallace is a Saint Louis, Missouri based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Ms. Cassandra Marie Wallace is 2014038394 for Pediatrics in Missouri. Her current practice location is 1 Childrens Pl, Saint Louis. Patients can reach her at 314-362-1408 or can fax her at 314-454-2523. Ms. Cassandra Marie Wallace is PNP with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1417354440. Ms. Cassandra Marie Wallace specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Ms. Cassandra Marie Wallace speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1417354440
NPI Enumeration Date:
19 Nov, 2014
NPI Last Update On:
27 Aug, 2024
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Cassandra Marie Wallace are as mentioned below.
License Number
Specialization
State
Status
2014038394
Pediatrics
Missouri
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Ms. Cassandra Marie Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
420049883
Medicaid
Missouri
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Ms. Cassandra Marie Wallace 1 Childrens Pl, Saint Louis, Missouri
Zip:
63110-1002
Phone Number:
314-454-2341
Fax Number:
314-454-4345
Patients can reach Ms. Cassandra Marie Wallace at 1 Childrens Pl, Saint Louis, Missouri or can call to book an appointment on 314-362-1408.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.