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
- City
- Edgewood
- State
- New Mexico
- ZIP Code
- 87015-7200
- Phone
- (505) 286-2396
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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