Provider Profile

Lizabeth Wallace

Unclaimed Profile

About Lizabeth Wallace

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Specialty

Nurse Practitioner (Primary)

Credentials & Licensing

IL license0411285741-209004409
NPI1417019084
NPI issued12/13/2006

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Lizabeth Wallace?

Lizabeth Wallace is a nurse practitioner in Peoria, IL. That is the designation recorded for this NPI in the federal registry.

NPI registry

What is Lizabeth Wallace's address?

Lizabeth Wallace is listed at 420 Ne Glen Oak Ave, Peoria, IL 61603. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Lizabeth Wallace?

The number on file is (309) 655-2343. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Lizabeth Wallace's NPI number?

Lizabeth Wallace's National Provider Identifier is 1417019084. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Lizabeth Wallace been practicing?

Lizabeth Wallace has 20+ years experience. Registered with an NPI since 2006. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Lizabeth Wallace confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Lizabeth Wallace. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.