Individual provider · Type 1 NPI
Kimberly Ann Wallach, NNP-BC
Neonatal Nurse Practitioner · Albuquerque, NM
NPI number
1881201168
Active
Practice location
4710 Montgomery Blvd NE
Albuquerque, NM 87109-1220
Mailing address
3423 68th Dr
Lubbock, TX 79413-6121
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neonatal Nurse Practitioner Primary | 363LN0000X | AP144855 (TX) |
Neonatal Nurse Practitioner: Definition to come...
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About NPI 1881201168
Kimberly Ann Wallach, NNP-BC's National Provider Identifier is 1881201168, issued on Sep 30, 2020. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Albuquerque, NM. The record was last updated on Sep 30, 2020.