IndividualActive
Kimberly Wallach, NNP-BC
NPI 1881201168 · Neonatal Nurse Practitioner · Albuquerque, NM
Provider details
- NPI number
- 1881201168
- Entity type
- Individual
- Primary specialty
- Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- AP144855 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4710 Montgomery Blvd Ne
Albuquerque, NM 87109-1220
Phone: (806) 470-8876
Approximate (ZIP-level) locationGet directions
Mailing address
3423 68th Dr
Lubbock, TX 79413-6121
Registry dates
- Enumerated
- 2020-09-30
- Last updated
- 2020-09-30
- Certified
- 2020-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.