AMY WALLACE NP
NPI 1922472455
Nurse Practitioner - Family in Kalamazoo, MI

Q: What is Amy Wallace's NPI number?

The NPI number for Amy Wallace is 1922472455. It was assigned to this individual provider in the NPPES registry on November 20, 2015.

Q: What is Amy Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Amy Wallace was last updated on March 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since November 20, 2015

333 PORTAGE ST, KALAMAZOO, MI 49007(269) 359-4407(269) 290-7078 Get Directions Write a Review

NPPES record last updated: March 22, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 22, 2017, Nov 20, 2015 (2 updates tracked since 2015).

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About Amy Wallace Np NPPES

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

AMY WALLACE NP (NPI 1922472455) is an individual family provider in Kalamazoo, Michigan, licensed in Michigan (4704241734) and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1922472455

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAMY WALLACECredential: NP

Location Address333 PORTAGE STKalamazoo, MI 49007-4931

Mailing Address6678 Guernsey Lake RdDelton, MI 49046-9739

Phone(269) 359-4407

Fax(269) 290-7078

Sole ProprietorYes

Enumeration DateNovember 20, 2015

Last NPPES UpdateMarch 22, 20172 updates tracked since enumeration

✔ NPI 1922472455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MI · 4704241734

333 PORTAGE ST, Kalamazoo, MI 49007

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Other Identifiers 1

Medicare PINMI9834002MI

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANIE RENEE BUTLER FNP-BC

Nurse Practitioner (Family)

333 PORTAGE ST
KALAMAZOO, MI 49007

Kalamazoo County (269) 359-4407

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 Amy Wallace's NPI number?

The NPI number for Amy Wallace is 1922472455. It was assigned to this individual provider in the NPPES registry on November 20, 2015.

Where is Amy Wallace located?

Amy Wallace practices at 333 Portage St, Kalamazoo, MI 49007. The listed phone number is (269) 359-4407.

What is Amy Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Amy Wallace was last updated on March 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.