Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Laury M Wallace, NP

Individual provider Adolescent Medicine (Family Medicine) Physician · NPI 1205343845

Laury M Wallace, NP is an Adolescent Medicine (Family Medicine) Physician in Westfield, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2018
Specialties on file
4
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

16731 Gaither Blvd
Westfield, IN 46074-4607
Phone: (317) 561-6840
Fax: (812) 239-3771
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X · Licence 71007724A (IN)
Adolescent Medicine (Family Medicine) Physician Taxonomy 207QA0000X · Licence 71007724A (IN)
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X · Licence 71007724A (IN)
Hospice and Palliative Medicine (Family Medicine) Physician Taxonomy 207QH0002X · Licence 71007724A (IN)

Record details

NPI number1205343845
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedJanuary 4, 2018
Last updated in NPPESJanuary 4, 2018