Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KRISTAL LEANN WALLACE, FNP-BC
ActiveMRS. KRISTAL LEANN WALLACE, FNP-BC is a Family Nurse Practitioner healthcare provider located in EDGEWOOD, New Mexico. NPI 1801752449 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · EDGEWOOD, NM
Registration Details
- NPI Number
- 1801752449
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 29, 2025 (0.60400189759484 yrs)
- Last Updated
- Dec 29, 2025
- License
-
87084 (NM)
Practice Information
- Address
-
1851 OLD US 66EDGEWOOD, NM, 870157200Browse NM providers · Browse ZIP 87015
- Phone
- 5052862396
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in EDGEWOOD, NM
| Name | Credential | NPI |
|---|---|---|
| VIVIENNE PRINZ | CNP | 1194154823 |
| THOMAS BLACK | NP | 1619346376 |
| MARGARET BARBOUR VON HENDRICKS | — | 1851849806 |
| DOUGLAS IVAN LUDINGTON | NP | 1982113445 |
| THU THANH NGUYEN | FNP | 1205459369 |
| CIERRA DORADO | — | 1386251957 |
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.