MS. Cassandra Marie Wallace, PNP is a pediatrics nurse practitioner in Saint Louis, MO. MS. Cassandra Marie Wallace, PNP NPI is 1417354440. 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:
1 CHILDRENS PL
DIV PED EMERGENCY MED
SAINT LOUIS, MO
ZIP 63110-002
Phone: (314) 454-2341
Fax: (314) 454-4345
The NPI 1417354440 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 11/19/2014 and was last updated on 11/15/2021.