Individual provider · Type 1 NPI
Kristal Leann Wallace, FNP-BC
Family Nurse Practitioner · Edgewood, NM
NPI number
1801752449
Active
Practice location
1851 Old US 66
Edgewood, NM 87015-7200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 87084 (NM) |
Family Nurse Practitioner: Definition to come...
9 other providers at this address
- Sandia Mountain Medical, Inc.Family Medicine Physician Edgewood, NM NPI 1609885243
- Alyssa Briana Mirabal, MDFamily Medicine Physician Edgewood, NM NPI 1043773005
- Bebe Makena, OTR/LOccupational Therapist Edgewood, NM NPI 1932449113
- Carla Rudolph, DOGeneral Practice Physician Edgewood, NM NPI 1104182328
- Harry Schnee Messec, MDFamily Medicine Physician Edgewood, NM NPI 1376512632
- Joshua Jones, PA-CPhysician Assistant Edgewood, NM NPI 1962811695
- Larisa Maureen Hart Vasquez, DPTPhysical Therapist Edgewood, NM NPI 1942944699
- Sanford Lee Yankow, MDFamily Medicine Physician Edgewood, NM NPI 1699720714
- Yourah Hwang, CNPFamily Nurse Practitioner Edgewood, NM NPI 1992477756
Other family nurse practitioner providers in Edgewood
- Nathan Duane Cogburn, FNPFamily Nurse Practitioner Edgewood, NM NPI 1083470116
- Vivienne Prinz, CNPFamily Nurse Practitioner Edgewood, NM NPI 1194154823
- Thu Thanh Nguyen, FNPFamily Nurse Practitioner Edgewood, NM NPI 1205459369
- Tracy J. Graff, CNPFamily Nurse Practitioner Edgewood, NM NPI 1366127375
- Cierra DoradoFamily Nurse Practitioner Edgewood, NM NPI 1386251957
- Thomas Black, NPFamily Nurse Practitioner Edgewood, NM NPI 1619346376
- David McAllister WitheyFamily Nurse Practitioner Edgewood, NM NPI 1740155589
- Dana Allsop, CNPFamily Nurse Practitioner Edgewood, NM NPI 1780467886
About NPI 1801752449
Kristal Leann Wallace, FNP-BC's National Provider Identifier is 1801752449, issued on Dec 29, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Edgewood, NM. The record was last updated on May 6, 2026.