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

Mariah Lanai Wallace, RN

Individual provider Registered Nurse · NPI 1336906536

Mariah Lanai Wallace, RN is a Registered Nurse in Austin, Texas. Licensed in Texas. Registered with an NPI since 2024.

Licensed in
TX
In the registry since
2024
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

1430 Collier St
Austin, TX 78704-2911
Phone: (512) 472-4357
Fax: (512) 703-1394
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 1144023 (TX)

Record details

NPI number1336906536
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedMarch 4, 2024
Last updated in NPPESMarch 4, 2024
Certification dateMarch 1, 2024
Mailing address1430 Collier St, Austin, TX 78704-2911

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