Lourdes Ivette Wallace is a Boerne, Texas based nurse practitioner with 11 years of experience in . She completed her graduation in 2014. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Lourdes Ivette Wallace is AP126548 for Adult Health in Texas. Her current practice location is 113 Pleasant Valley Dr Ste 210, Boerne. Patients can reach her at 830-267-4575 or can fax her at 830-267-4575. Lourdes Ivette Wallace is AGACNP-BC and her NPI number (Unique professional ID assigned by NPPES) is 1659773869. Lourdes Ivette Wallace has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Lourdes Ivette Wallace speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Lourdes Ivette Wallace
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
AGACNP-BC
Experience:
11+ years
Medical School Attended:
Other
Graduation Year:
2014
Accepts Medicare Assignment:
Yes
Practice Address:
113 Pleasant Valley Dr Ste 210, Boerne, Texas, 78006-5683
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5092030965
Enrollment ID:
I20150217001962
NPI Number:
1659773869
NPI Enumeration Date:
18 Sep, 2014
NPI Last Update On:
03 Sep, 2020
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lourdes Ivette Wallace are as mentioned below.
License Number
Specialization
State
Status
AP126548
Adult Health
Texas
Primary
RN860816
Nurse Practitioner
Texas
Secondary
11670071-4405
Adult Health
Utah
Secondary
AP126548
Gerontology
Texas
Secondary
11670071-4405
Gerontology
Utah
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Lourdes Ivette Wallace 113 Pleasant Valley Dr Ste 210, Boerne, Texas
Zip:
78006-5683
Phone Number:
830-267-4575
Fax Number:
830-267-4575
Patients can reach Lourdes Ivette Wallace at 113 Pleasant Valley Dr Ste 210, Boerne, Texas or can call to book an appointment on 830-267-4575.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.