Mary Michelle Wallace
N.P. | Nurse Practitioner - Psych/Mental Health
444 N 44th St, #200, Phoenix
Arizona, 85008-7624
602-685-3846
Mary Michelle Wallace is a Phoenix, Arizona based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Mary Michelle Wallace is RN030118 for Psych/Mental Health in Arizona. Her current practice location is 444 N 44th St, #200, Phoenix. Patients can reach her at 602-685-3846 or can fax her at 602-685-3808. Mary Michelle Wallace is N.P. with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1417176546.
Mary Michelle Wallace provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Mary Michelle 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: | Mary Michelle Wallace |
| Specialization: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Female |
| Credentials: | N.P. |
| Practice Address: | 444 N 44th St, #200, Phoenix,
Arizona, 85008-7624 |
| Phone: | 602-685-3846 |
| Fax: | 602-685-3808 |
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.
| NPI Number: | 1417176546 |
| NPI Enumeration Date: | 25 Apr, 2007 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary Michelle Wallace are as mentioned below.
| License Number | Specialization | State | Status | |
| RN030118 | Psych/Mental Health | Arizona | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mary Michelle Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 637184 | Medicaid | Arizona | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mary Michelle Wallace
444 N 44th St, #200
Phoenix, Arizona |
| Zip: | 85008-7624 |
| Phone Number: | 602-685-3846 |
| Fax Number: | 602-685-3808 |
Patients can reach Mary Michelle Wallace at
444 N 44th St, #200, Phoenix, Arizona or can
call to book an appointment on 602-685-3846.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.