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Lourdes Ivette Wallace, AGACNP-BC
Adult Health Nurse Practitioner in Boerne, Texas
NPI 1659773869

Lourdes Ivette Wallace is an Adult Health Nurse Practitioner based in Boerne, TX and is specialized in Adult Health. Lourdes Ivette Wallace practices in Boerne, TX and has the professional credentials of AGACNP-BC. The NPI Number for Lourdes Ivette Wallace is 1659773869 and holds a License No. RN860816 (Texas).

The current practice location address for Lourdes Ivette Wallace is 113 Pleasant Valley Dr Ste 210, Boerne, TX and can be reached out via phone at 830-267-4575 and via fax at 830-267-4575.

Location: 113 Pleasant Valley Dr Ste 210, Boerne, TX, 78006-5683
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659773869
Provider Name
Lourdes Ivette Wallace
Credential
AGACNP-BC
Provider Entity Type
Individual
Gender
Female
Address
113 Pleasant Valley Dr Ste 210, Boerne, TX, 78006-5683
Phone Number
830-267-4575
Fax Number
830-267-4575
Provider Enumeration Date
09/18/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
113 Pleasant Valley Dr Ste 210
City
Boerne
State
Texas
Zip
78006-5683
Phone Number
830-267-4575
Fax Number
830-267-4575
person
Provider Business Mailing Address Details
Address
113 Pleasant Valley Dr Ste 210
City
Boerne
State
Texas
Zip
78006-5683
Phone Number
830-267-4575
Fax Number
830-267-4575
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
AP126548 (Texas)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
11670071-4405 (Utah)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
RN860816 (Texas)
Definition
Definition to come...
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