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

Tereasa Anne Wallace, RN, MN

Individual provider Maternal Newborn Registered Nurse · NPI 1982993366

Tereasa Anne Wallace, RN, MN is a Maternal Newborn Registered Nurse in Boulder, Colorado. Licensed in Colorado. Registered with an NPI since 2011.

Licensed in
CO
In the registry since
2011
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

1333 Iris Ave
Boulder, CO 80304-2226
Phone: (303) 443-8500
Fax: (720) 406-3664
Show map & directions

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

Specialties & licences

Maternal Newborn Registered Nurse (primary) Taxonomy 163WM0102X · Licence 92415 (CO)

Record details

NPI number1982993366
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , MN
Sole proprietorNo
NPI enumeratedApril 6, 2011
Last updated in NPPESApril 6, 2011

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