IndividualActive
Amy Wallace
NPI 1043452063 · Registered Nurse · Gallup, NM
Amy Wallace is a Registered Nurse provider in Gallup, NM (NPI 1043452063).
Provider details
- NPI number
- 1043452063
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 056303-21 (NH)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
516 Nizhoni Blvd
Gallup, NM 87301-5748
Phone: (505) 722-1207
Street-level locationGet directions
Mailing address
Po Box 1337
Gallup, NM 87305-1337
Registry dates
- Enumerated
- 2009-04-06
- Last updated
- 2009-04-06
Frequently asked questions
- What is Amy Wallace's NPI number?
- Amy Wallace's National Provider Identifier (NPI) is 1043452063, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Amy Wallace's specialty?
- Amy Wallace is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Amy Wallace located?
- Amy Wallace's practice location on file with NPPES is 516 Nizhoni Blvd, Gallup, NM 87301-5748.
- What is Amy Wallace's phone number?
- The practice phone number listed in the NPPES registry for Amy Wallace is (505) 722-1207.
- Is Amy Wallace's NPI active?
- Yes — Amy Wallace's NPI (1043452063) is active in the NPPES registry as of the last update on 2009-04-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.