Individual provider · Type 1 NPI

Imelda V. Wallace, FNP-BC

Family Nurse Practitioner · El Paso, TX

NPI number 1003541095 Active

About NPI 1003541095

Imelda V. Wallace, FNP-BC's National Provider Identifier is 1003541095, issued on Jul 22, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in El Paso, TX. The record was last updated on Jul 22, 2022.