Ms. Nickola Kim Wallace (CRNP) is a health care provider specializes in Nurse Practitioner.
Basic Information| Practice Location | 1001 S George St, Bldg Mkb, York, PA 17405, US |
|---|---|
| Practice Location Phone | 717-851-2521 |
| Practice Location Fax | 717-851-3535 |
| Gender | Female |
| Specialty In | Nurse Practitioner |
| NPI ? | 1326073040 |
| Entity Type | Individual |
| 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). | |
Specialties & Licenses of Nickola Kim Wallace| Specialty | Provider Type | Specialization | License | License State |
|---|---|---|---|---|
| Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | Family | TP006718B | Pennsylvania |
Legacy Provider IDs of Nickola Kim Wallace| Provider Id | Issuer State | Issuer Type | Issuer |
|---|---|---|---|
| 50048998 | Pennsylvania | Other | CAPITAL BLUE CROSS |
