Michael A. Wallace, CNP
Family NP · Albuquerque, NM
UnclaimedCNPNPI 1003057852
- Primary taxonomy
- 363LF0000X
- Enumerated
- 2009-03-07
- Practice location
- Albuquerque, NM
- Last NPPES update
- 2013-03-11
State licenses
- NM · Nurse practitioner · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.