Imelda V Wallace, FNP-BC

NPI #1003541095 in El Paso, Texas

Provider Information

NPI Number
1003541095
Entity Type
Individual
Name
Imelda V Wallace, FNP-BC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
FNP-BC
Enumeration Date
Jul 22, 2022
Last Updated
Jul 22, 2022

Practice Location

Address
11860 VISTA DEL SOL DR STE 150
State
Texas
ZIP Code
79936-6128
Phone
(915) 808-4000

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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