MRS. Kristal Leann Wallace, FNP-BC

NPI #1801752449 in Edgewood, New Mexico

Provider Information

NPI Number
1801752449
Entity Type
Individual
Name
MRS. Kristal Leann Wallace, FNP-BC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
FNP-BC
Enumeration Date
Dec 29, 2025
Last Updated
Dec 29, 2025

Practice Location

Address
1851 OLD US 66
ZIP Code
87015-7200
Phone
(505) 286-2396

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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