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KIMBERLY ANN WALLACH NNP-BC
NPI 1881201168
Nurse Practitioner - Neonatal in Albuquerque, NM

Active since September 30, 2020
4710 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109(806) 470-8876 Get Directions Write a Review

NPPES record last updated: September 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly Ann Wallach Nnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY ANN WALLACH NNP-BC (NPI 1881201168) is an individual neonatal provider in Albuquerque, New Mexico, licensed in Texas (AP144855) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1881201168
Entity TypeIndividualFemale
Primary Taxonomy363LN0000X
Provider Legal NameKIMBERLY ANN WALLACHCredential: NNP-BC
Location Address4710 MONTGOMERY BLVD NEAlbuquerque, NM 87109-1220
Mailing Address3423 68th DrLubbock, TX 79413-6121 · (806) 470-8876
Phone(806) 470-8876
Sole ProprietorNo
Enumeration DateSeptember 30, 2020
NPPES CertifiedSeptember 30, 2020
✔ NPI 1881201168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
License✔ Licensed in TX · AP144855
4710 MONTGOMERY BLVD NE, Albuquerque, NM 87109
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Wallach's NPI number?

The NPI number for Kimberly Wallach is 1881201168. It was assigned to this individual provider in the NPPES registry on September 30, 2020.

Where is Kimberly Wallach located?

Kimberly Wallach practices at 4710 Montgomery Blvd NE, Albuquerque, NM 87109. The listed phone number is (806) 470-8876.

What is Kimberly Wallach's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

When was this NPI record last updated?

The NPPES record for Kimberly Wallach was last updated on September 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.