| Mrs Kristal Leann Wallace, FNP-BC | |
|
1851 Old Us 66, Edgewood, NM 87015-7200 | |
| (505) 286-2396 | |
| Not Available |
| Full Name | Mrs Kristal Leann Wallace |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1851 Old Us 66, Edgewood, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801752449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 87084 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kristal Leann Wallace, FNP-BC 1839 Black Gold St Se, Albuquerque, NM 87123-2190 Ph: (602) 373-4929 | Mrs Kristal Leann Wallace, FNP-BC 1851 Old Us 66, Edgewood, NM 87015-7200 Ph: (505) 286-2396 |
Nathan Duane Cogburn, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7 Municipal Way, Edgewood, NM 87015 Phone: 505-281-3406 | |
Vivienne Prinz, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Quail Trl, Unit B, Edgewood, NM 87015 Phone: 505-208-0204 | |
Thu Thanh Nguyen, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104 Quail Trail, Unit B, Edgewood, NM 87015 Phone: 505-208-0204 Fax: 505-717-2884 | |
Mary Ann Crow, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Quail Trl, Edgewood, NM 87015 Phone: 505-208-0204 | |
Tracy J. Graff, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7 Municipal Way, Edgewood, NM 87015 Phone: -- | |
Cierra Dorado, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Quail Trl, Edgewood, NM 87015 Phone: 505-208-0204 | |
Chelsey Ann Weinbrecht, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 143 Square H Rd, Edgewood, NM 87015 Phone: 505-363-1884 |