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IndividualActivePrescriber

Mr. Michael Alan Wallace

CNP

Nurse Practitioner - Family

NPI: 1003057852Albuquerque, New Mexico, 87113(505) 858-1222Male

About Mr. Michael Alan Wallace

Mr. Michael Alan Wallace, CNP, is a male healthcare professional specializing in Nurse Practitioner - Family with a focus on Family, registered under National Provider Identifier (NPI) number 1003057852.

Their primary practice is located at 8210 LOUISIANA BLVD NE, Albuquerque, New Mexico 87113. Patients can reach the office at (505) 858-1222. Mr. Michael Alan Wallace is authorized to prescribe medications.

Mr. Michael Alan Wallace has been NPI-registered since 2009.

Doctor Details

Identity & Credentials

NPI Number
1003057852
Entity Type
Individual
First Name
Michael
Last Name
Wallace
Credential
CNP
Gender
Male
Sole Proprietor
No
Status
active

Primary Practice Location

Address
8210 LOUISIANA BLVD NE
City
Albuquerque
State
New Mexico
ZIP
87113-1761
Country
United States
Phone
(505) 858-1222
Fax
(505) 858-1224

Specialty & Taxonomy

Primary Specialty
Nurse Practitioner - Family
Classification
Nurse Practitioner
Specialization
Family
Taxonomy Code
363LF0000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
8210 LOUISIANA BLVD NE
City
ALBUQUERQUE
State
NM
ZIP
871131761

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Prescriber Information

Authorized Prescriber
Yes

Frequently Asked Questions

What is Mr. Michael Alan Wallace's NPI number?
Mr. Michael Alan Wallace's National Provider Identifier (NPI) is 1003057852. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Mr. Michael Alan Wallace specialize in?
Mr. Michael Alan Wallace specializes in Nurse Practitioner - Family.
Where is Mr. Michael Alan Wallace located?
Mr. Michael Alan Wallace practices at 8210 LOUISIANA BLVD NE, Albuquerque, New Mexico 87113. You can reach them by phone at (505) 858-1222.
Does Mr. Michael Alan Wallace accept Medicare?
Based on available data, Mr. Michael Alan Wallace is not currently enrolled in the Medicare program.
Does Mr. Michael Alan Wallace offer telehealth or virtual visits?
Mr. Michael Alan Wallace does not currently offer telehealth services. In-person visits are required at their practice location.
Can Mr. Michael Alan Wallace prescribe medications?
Yes, Mr. Michael Alan Wallace is an authorized prescriber.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Mr. Michael Alan Wallace is 1003057852.