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

Richard Wallace, RNBSN

Individual provider Registered Nurse · NPI 1811434400

Richard Wallace, RNBSN is a Registered Nurse in Colorado Springs, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2017

Practice location Address checks out

4905 Hackamore Dr N
Colorado Springs, CO 80918-2632
Phone: (719) 252-6631
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 112239 (CO)

Record details

NPI number1811434400
Entity typeIndividual (Type 1)
GenderMale
Credentials RNBSN
Sole proprietorYes
NPI enumeratedJanuary 20, 2017
Last updated in NPPESJanuary 20, 2017

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