Lourdes Ivette Wallace
AGACNP-BC | Nurse Practitioner | 12+ years Exp
113 Pleasant Valley Dr Ste 210, Boerne
Texas, 78006-5683
830-267-4575
Lourdes Ivette Wallace is a Boerne, Texas based nurse practitioner with 12 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: | 12+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2014 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 113 Pleasant Valley Dr Ste 210, Boerne,
Texas, 78006-5683 |
| Phone: | 830-267-4575 |
| Fax: | 830-267-4575 |
Professional Identification Codes:
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.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.