1. Home
  2. Directory
  3. Colorado
  4. Boulder
  5. Registered Nurse
  6. NPI Profile

TEREASA ANNE WALLACE RN, MN
NPI 1982993366
Registered Nurse - Maternal Newborn in Boulder, CO

Active since April 06, 2011
1333 IRIS AVE, BOULDER, CO 80304(303) 443-8500(720) 406-3664 Get Directions Write a Review

NPPES record last updated: April 6, 2011. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Tereasa Anne Wallace Rn, Mn NPPES

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

TEREASA ANNE WALLACE RN, MN (NPI 1982993366) is an individual maternal newborn provider in Boulder, Colorado, licensed in Colorado (92415) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1982993366
Entity TypeIndividualFemale
Primary Taxonomy163WM0102X
Provider Legal NameTEREASA ANNE WALLACECredential: RN, MN
Location Address1333 IRIS AVEBoulder, CO 80304-2226
Mailing Address1333 Iris AveBoulder, CO 80304-2226 · (720) 562-0566 · Fax (720) 406-3664
Phone(303) 443-8500
Fax(720) 406-3664
Sole ProprietorNo
Enumeration DateApril 6, 2011
✔ NPI 1982993366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Maternal NewbornNursing Service Providers
Taxonomy Code163WM0102X
License✔ Licensed in CO · 92415
1333 IRIS AVE, Boulder, CO 80304
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

CARLOS TRUJILLO
Counselor (Mental Health)
1333 IRIS AVE
BOULDER, CO 80304
Boulder County (303) 413-6212
GUILHERME ZAVASCHI
Counselor (Mental Health)
1333 IRIS AVE
BOULDER, CO 80304
Boulder County (303) 443-8500
MS. REGINA CANNON REGISTERED PSYCHOTHE
Counselor (Mental Health)
1333 IRIS AVE
BOULDER, CO 80304
Boulder County (303) 443-8500
AMANDA FIELDER
Counselor (Mental Health)
1333 IRIS AVE
BOULDER, CO 80304
Boulder County (303) 443-8500
CLARISSA MONET DUBOSE
Social Worker
1333 IRIS AVE
BOULDER, CO 80304
Boulder County (303) 443-8500
BLAKE EDMOND
Counselor (Mental Health)
1333 IRIS AVE
BOULDER, CO 80304
Boulder County (303) 443-8500
DR. KRISTINA F HINDERT MD
Psychiatry & Neurology (Psychiatry)
1333 IRIS AVE
BOULDER, CO 80304
Boulder County (303) 443-8500
CHERLYN WAGER B.A.
Case Manager/Care Coordinator
1333 IRIS AVE
BOULDER, CO 80304
Boulder County (303) 441-0592

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 Tereasa Wallace's NPI number?

The NPI number for Tereasa Wallace is 1982993366. It was assigned to this individual provider in the NPPES registry on April 6, 2011.

Where is Tereasa Wallace located?

Tereasa Wallace practices at 1333 Iris Ave, Boulder, CO 80304. The listed phone number is (303) 443-8500.

What is Tereasa Wallace's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Maternal Newborn, with taxonomy code 163WM0102X.

When was this NPI record last updated?

The NPPES record for Tereasa Wallace was last updated on April 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.