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

Nolan Michael Wallace, DO

Individual provider Internal Medicine Physician · NPI 1568396349

Nolan Michael Wallace, DO is an Internal Medicine Physician in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2026.

Licensed in
NV
In the registry since
2026
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

620 Shadow Ln
Las Vegas, NV 89106-4194
Phone: (702) 388-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence SL2535 (NV)

Record details

NPI number1568396349
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 9, 2026
Last updated in NPPESJune 9, 2026
Certification dateMay 29, 2026
Mailing address160 Cielo Abierto Way Unit 422, Henderson, NV 89012-5853

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