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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MICHAEL ALAN WALLACE, CNP

Active

MR. MICHAEL ALAN WALLACE, CNP is a Family Nurse Practitioner healthcare provider located in ALBUQUERQUE, New Mexico. NPI 1003057852 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · ALBUQUERQUE, NM

Registration Details

NPI Number
1003057852
Provider Type
Individual
Gender
Male
NPI Issued
Mar 7, 2009 (17.409046757064 yrs)
Last Updated
Mar 11, 2013
License
R48828 (NM)

Practice Information

Address
8210 LOUISIANA BLVD NE
SUITE C
ALBUQUERQUE, NM, 871131761
Browse NM providers · Browse ZIP 87113
Phone
5058581222
Fax
5058581224
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in ALBUQUERQUE, NM

Name Credential NPI
MS. THERESA B STRASSBURGER CNP 1114923695
KATE GOLDBLUM N.P. 1134127772
LESLIE MONAGLE CFNP 1841299062
CAROL L. BURMEISTER CFNP 1639178833
CAROL SCOTT CFNP 1417959446
MARSHA SOUERS NP 1811980642
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.