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Nickola Kim Wallace (CRNP)

Ms. Nickola Kim Wallace (CRNP) is a health care provider specializes in Nurse Practitioner.

profile-icon Basic Information

Practice Location 1001 S George St, Bldg Mkb, York, PA 17405, US
Practice Location Phone717-851-2521
Practice Location Fax717-851-3535
GenderFemale
Specialty InNurse Practitioner
NPI ?1326073040
Entity TypeIndividual
Enumeration Date ? Jul 11, 2006
Last Update Date ? Jul 9, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Nickola Kim Wallace

SpecialtySpecializationLicenseLicense State
Nurse PractitionerFamily TP006718BPennsylvania

legacy-id-icon Legacy Provider IDs of Nickola Kim Wallace

Provider IdIssuer StateIssuer TypeIssuer
50048998PennsylvaniaOtherCAPITAL BLUE CROSS
050483EZ3PennsylvaniaMedicare Id-type UnspecifiedPA MEDICARE
P38551PennsylvaniaMedicare Upin