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

Maggie Mae Wallace

Individual provider Family Nurse Practitioner · NPI 1366098642

Maggie Mae Wallace is a Family Nurse Practitioner in Gulf Shores, Alabama. Licensed in Alabama and Connecticut. Registered with an NPI since 2019.

Licensed in
AL, CT
In the registry since
2019
Specialties on file
2

Practice location Address checks out

200 Ofc Park DR
Gulf Shores, AL 36542-3432
Phone: (251) 968-7379
Fax: (251) 968-5960
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1-182953 (AL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 8373 (CT)

Record details

NPI number1366098642
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 13, 2019
Last updated in NPPESNovember 13, 2023
Certification dateNovember 13, 2023

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