Amy Evelyn Wallace

Registered Nurse · Gallup, NM

Individual Active NPI

NPI number 1043452063

Practice location

516 Nizhoni Blvd
Gallup, NM 87301-5748
Phone
(505) 722-1207

Open in Google Maps

NPI record

NPI
1043452063
Entity type
Individual (Type 1)
Enumeration date
April 6, 2009
Last updated
April 6, 2009
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Nurse Primary 163W00000X 056303-21 NH

Mailing address

PO Box 1337
Gallup, NM 87305-1337

About Amy Wallace

Amy Evelyn Wallace is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Nurse (code 163W00000X). The practice location is 516 Nizhoni Blvd, Gallup, NM 87301-5748. The NPI number 1043452063 was assigned on April 6, 2009 and the record was last updated on April 6, 2009.

Amy Wallace lists a license in the registry: #056303-21 (NH) for Registered Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Amy Evelyn Wallace?

The NPI number is 1043452063.

What is the phone number of Amy Wallace?

The phone number listed for the practice location is (505) 722-1207.

Where is Amy Wallace located?

516 Nizhoni Blvd, Gallup, NM 87301-5748.

What is the taxonomy code for Amy Wallace?

The primary taxonomy code is 163W00000X – Registered Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Registered Nurse providers in Gallup

All Registered Nurse providers in Gallup, NM →