NPI age
11 years
Enumerated 2014-09-18
● Active
Type 1 · Individual
Lourdes Ivette Wallace, AGACNP-BC
Wallace is 1 of 5 nurse practitioner providers in Boerne and 1 of 1243 in Texas.
Primary specialty
Nurse Practitioner
Plus 4 subspecialties
Licensed in
TX, UT
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-09-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1243 active nurse practitioner providers in Texas.
NPI age
11 years
≈ at median (11 yr)
State licenses
2 states
Top 90% — 9% of peers are multi-state
Subspecialties
2
In the 39% of peers with subspecialties
NPI lifetime · 2014 → 2026
2014-09Enumerated in NPPES
2014
2026
Where they practice
Practice location
113 Pleasant Valley Dr Ste 210
Boerne, TX 780065683
Mailing address
113 Pleasant Valley Dr Ste 210
Boerne, TX 780065683
Additional practice locations
1 secondary location on file with NPPES.
Location 2
10004 Johns Rd
Boerne, TX 780068811
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
-
Nurse Practitioner(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
-
Nurse PractitionerDefinition to come...
Practice context
Part of a multi-provider practice. 21 other active providers share this practice address in NPPES.
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