Lizabeth Wallace

  • NPI 1417019084
According to our database, the NPI number for Lizabeth Wallace is 1417019084 and activated since 17 years ago. Lizabeth Wallace is an individual provider who specializes in Nurse Practitioner, and the primary practice location is 420 Ne Glen Oak Ave, Peoria, IL 61603. You can also contact Lizabeth Wallace via telephone number is (309) 655-2343. Provider NPI information was last updated on 04/20/2009.

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Overview of Lizabeth Wallace

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 12/13/2006
  • Last updated: 04/20/2009

Primary Scrop of Practice

  • Taxonomy Code: 363L00000X
  • Specialty: Nurse Practitioner
  • License Number: 0411285741-209004409
  • License State: IL

Provider Mailing Address

  • Address: 420 Ne Glen Oak Ave
    Peoria, IL 61603
  • Phone: 309-655-2343
  • Fax: 309-655-3948

Provider Practice Location

  • Address: 420 Ne Glen Oak Ave
    Peoria, IL 61603
  • Phone: 309-655-2343
  • Fax: 309-655-3948

Scope of Practice

  • Taxonomy Code: 363L00000X
  • Specialty: Nurse Practitioner
  • License Number: 0411285741
  • License State: IL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 207594001
  • Identifier Type: Other
  • Identifier State: IL
  • Issuer: MEDICARE INDIVIDUAL ID/K35369 DEACTIVATED

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Lizabeth Wallace?
  • A: The npi number for Lizabeth Wallace is 1417019084.
  • Q: What are Lizabeth Wallace's specialties?
  • A: Lizabeth Wallace's specialties are Nurse Practitioner and different specialities.
  • Q: What is the medical license for Lizabeth Wallace?
  • A: The medical license number for Lizabeth Wallace is 0411285741-209004409 and issued in IL in USA.
  • Q: Where is Lizabeth Wallace practice location?
  • A: Lizabeth Wallace is practicing at 420 Ne Glen Oak Ave, Peoria, IL 61603.
  • Q: How to contact Lizabeth Wallace?
  • A: You can contact Lizabeth Wallace via 309-655-2343.