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

LOURDES IVETTE WALLACE, AGACNP-BC

Active

LOURDES IVETTE WALLACE, AGACNP-BC is a Adult Health Nurse Practitioner healthcare provider located in BOERNE, Texas. NPI 1659773869 is currently active in the NPPES registry. Verify at CMS.

Adult Health Nurse Practitioner · BOERNE, TX

Registration Details

NPI Number
1659773869
Provider Type
Individual
Gender
Female
NPI Issued
Sep 18, 2014 (11.863320986526 yrs)
Last Updated
Sep 3, 2020
Licenses
RN860816 (TX)
11670071-4405 (UT)
AP126548 (TX)
11670071-4405 (UT)
AP126548 (TX)

Practice Information

Address
113 PLEASANT VALLEY DR STE 210
BOERNE, TX, 780065683
Browse TX providers · Browse ZIP 78006
Phone
8302674575
Fax
8302674575
Primary Specialty
Adult Health Nurse Practitioner
363LA2200X

Other Adult Health Nurse Practitioner Providers in BOERNE, TX

Name Credential NPI
KRISTIN MICHELE STEINKE APRN-C, RN 1649201260
BARBARA LYNN HYZAK CANP 1861564247
MRS. JOYCE K CLAIR APN 1669544284
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.