Lourdes Ivette Wallace, AGACNP-BC
Lourdes Ivette Wallace, AGACNP-BC is a Nurse Practitioner in Boerne, Texas. Works from 2 locations. Licensed in Texas and Utah.
- Licensed in
- TX, UT
- In the registry since
- 2014
- Specialties on file
- 5
Practice location Address checks out
113 Pleasant Valley Dr Ste 210Boerne, TX 78006-5683
Phone: (830) 267-4575
Fax: (830) 267-4575
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 10004 Johns Rd, Boerne, TX 78006-8811 — (830) 267-4575
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence AP126548 (TX) |
|---|---|
| Nurse Practitioner | Taxonomy 363L00000X · Licence RN860816 (TX) |
| Adult Health Nurse Practitioner | Taxonomy 363LA2200X · Licence 11670071-4405 (UT) |
| Gerontology Nurse Practitioner | Taxonomy 363LG0600X · Licence AP126548 (TX) |
| Gerontology Nurse Practitioner | Taxonomy 363LG0600X · Licence 11670071-4405 (UT) |
Record details
| NPI number | 1659773869 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | AGACNP-BC |
| Sole proprietor | No |
| NPI enumerated | September 18, 2014 |
| Last updated in NPPES | September 3, 2020 |
| Certification date | September 3, 2020 |
Other providers in Boerne
-
Thomas Gutierrez, RN, MSN, FNP
1381 S Main St, Boerne, TX 78006 · (830) 249-9424
-
Madisen Claire Hall
113 Pleasant Valley Dr Ste 210, Boerne, TX 78006-5683 · (830) 267-4575
-
Hill Country Hydration and Wellness, PLLC
703 Kreutzberg Rd, Boerne, TX 78006-7826 · (830) 431-2183
-
Mr. Aaron Dale Saul Jr., APRN-CNP
113 Pleasant Valley Dr Ste 210, Boerne, TX 78006-5683 · (830) 267-4575