Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elizabeth A Wallace

Individual provider School Registered Nurse · NPI 1598359911

Elizabeth A Wallace is a School Registered Nurse in Cimarron, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2021

Practice location Address checks out

125 N Collison Ave
Cimarron, NM 87714-8505
Phone: (575) 377-6991
Fax: (575) 376-2442
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Registered Nurse (primary) Taxonomy 163WS0200X · Licence 402513 (NM)

Record details

NPI number1598359911
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 25, 2021
Last updated in NPPESFebruary 25, 2021
Certification dateJanuary 28, 2021
Mailing address125 N Collison Ave, Cimarron, NM 87714-8505

Other providers in Cimarron