Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Demetre Wallace, CHW

Individual provider Community Health Worker · NPI 1639017445

Demetre Wallace, CHW is a Community Health Worker in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2026.

Licensed in
NM
In the registry since
2026

Practice location Address checks out

300 Central Ave SW Ste 1500E
Albuquerque, NM 87102-3293
Phone: (505) 369-1731
Fax: (505) 218-9307
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X (NM)

Record details

NPI number1639017445
Entity typeIndividual (Type 1)
GenderMale
Credentials CHW
Sole proprietorNo
NPI enumeratedMarch 23, 2026
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026

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