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

Mr. Michael Alan Wallace, CNP

Individual provider Family Nurse Practitioner · NPI 1003057852

Mr. Michael Alan Wallace, CNP is a Family Nurse Practitioner in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2009.

Licensed in
NM
In the registry since
2009
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

8210 Louisiana Blvd NE Ste C
Albuquerque, NM 87113-1761
Phone: (505) 858-1222
Fax: (505) 858-1224
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 R48828 (NM)

Record details

NPI number1003057852
Entity typeIndividual (Type 1)
GenderMale
Credentials CNP
Sole proprietorNo
NPI enumeratedMarch 7, 2009
Last updated in NPPESMarch 11, 2013

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