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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELIZABETH A WALLACE

Active Sole Proprietor

ELIZABETH A WALLACE is a School Nurse healthcare provider located in CIMARRON, New Mexico. NPI 1598359911 is currently active in the NPPES registry. Verify at CMS.

School Nurse · CIMARRON, NM

Registration Details

NPI Number
1598359911
Provider Type
Individual
Gender
Female
NPI Issued
Feb 25, 2021 (5.4409435097737 yrs)
Last Updated
Feb 25, 2021
License
402513 (NM)
Sole Proprietor
Yes

Practice Information

Address
125 N COLLISON AVE
CIMARRON, NM, 877148505
Browse NM providers · Browse ZIP 87714
Phone
5753776991
Fax
5753762442
Primary Specialty
School Nurse
163WS0200X

Other School Nurse Providers in CIMARRON, NM

Name Credential NPI
ADRIAN ESQUIVEL RN 1073296950
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.