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Island Life Personalized Medicine

Family Nurse Practitioner in Gulf Shores, AL · enumerated 2024 · authorized official Maggie Wallace, Nurse Practitioner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1730900648

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Registry record

Entity type Organization (Type 2)
Legal business name Island Life Personalized Medicine
Practice address 3817 Gulf Shores Pkwy Ste 9, Gulf Shores, AL, 36542
Fax (251) 235-8232
Enumeration date Oct 23, 2024
Last updated in NPPES Oct 23, 2024

Taxonomy & classification

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Primary

Authorized official

Name Maggie Wallace
Title Nurse Practitioner

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Island Life Personalized Medicine?
The NPI for Island Life Personalized Medicine is 1730900648, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Island Life Personalized Medicine?
NPPES lists Maggie Wallace (Nurse Practitioner) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-10-23.