KATHERINE C WALLACE APRN, FNP-BC
NPI 1114821618
Nurse Practitioner - Family in Marlborough, CT
About Katherine C Wallace Aprn, Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHERINE C WALLACE APRN, FNP-BC (NPI 1114821618) is an individual family provider in Marlborough, Connecticut, licensed in Connecticut (18417) and active in the NPI registry since October 2026.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MARLBOROUGH, CT 06447
MARLBOROUGH, CT 06447
MARLBOROUGH, CT 06447
MARLBOROUGH, CT 06447
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Katherine Wallace's NPI number?
The NPI number for Katherine Wallace is 1114821618. It was assigned to this individual provider in the NPPES registry on October 7, 2026.
Where is Katherine Wallace located?
Katherine Wallace practices at 14 Jones Hollow Rd, Marlborough, CT 06447. The listed phone number is (860) 295-8217.
What is Katherine Wallace's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
When was this NPI record last updated?
The NPPES record for Katherine Wallace was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Katherine C Wallace, APRN, FNP-BC · NPI 1114821618
Family physician in Marlborough, Connecticut. Individual provider, active in the CMS NPPES registry since October 7, 2026.
## Identity
- **NPI:** 1114821618 (Entity type: Individual)
- **Enumerated:** October 7, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 18417 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 14 JONES HOLLOW RD, Marlborough, CT 06447-1448
- **Phone:** (860) 295-8217
## Record status
- **NPPES last updated:** October 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1114821618) · Data from the CMS NPPES public registry.