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

Mary Michelle Wallace, NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1417176546

Mary Michelle Wallace, NP is a Psychiatric/Mental Health Nurse Practitioner in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

444 N 44th St #200
Phoenix, AZ 85008-7624
Phone: (602) 685-3846
Fax: (602) 685-3808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN030118 (AZ)

Record details

NPI number1417176546
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedApril 25, 2007
Last updated in NPPESJuly 8, 2007

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