| Charlesetta Wallace, APRN, CNM | |
|
2111 E Oakland Ave Ste B, Bloomington, IL 61701-5783 | |
| (309) 808-3068 | |
| Not Available |
| Full Name | Charlesetta Wallace |
|---|---|
| Gender | Female |
| Speciality | Certified Nurse Midwife (cnm) |
| Experience | 1 Years |
| Location | 2111 E Oakland Ave Ste B, Bloomington, Illinois |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114896032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 209033647 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Charlesetta Wallace, APRN, CNM 5100 W Bradford Woods Cir Apt T, Peoria, IL 61615-8978 Ph: (309) 357-0768 | Charlesetta Wallace, APRN, CNM 2111 E Oakland Ave Ste B, Bloomington, IL 61701-5783 Ph: (309) 808-3068 |
Cassandra Fife, APRN Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 6 Westport Ct, Bloomington, IL 61704 Phone: 309-722-4020 Fax: 309-740-4440 | |
Angie Detwiler, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 6 Westport Ct, Bloomington, IL 61704 Phone: 309-722-4020 | |
Lauren Heidenreich, Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2111 E Oakland Ave Ste B, Bloomington, IL 61701 Phone: 309-808-3068 | |
Bethany Ann Bradley, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2111 E Oakland Ave Ste B, Bloomington, IL 61701 Phone: 309-808-3068 | |
Justine Sims, APN, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 6 Westport Ct, Bloomington, IL 61704 Phone: 309-722-4020 Fax: 309-740-4440 | |
Machayla Ziemer, APRN/CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 6 Westport Ct, Bloomington, IL 61704 Phone: 309-722-4020 Fax: 309-740-4440 |