MRS. Cynthia Wallace, AGPCNP is a gerontology nurse practitioner in Medford, OR with 10 years of experience. MRS. Cynthia Wallace, AGPCNP NPI is 1811393648. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1111 CRATER LAKE AVE
MEDFORD, OR
ZIP 97504-241
Phone: (541) 732-5250
Fax: (541) 732-5251
The NPI 1811393648 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 11/5/2014 and was last updated on 9/30/2020.