Nickola Kim Wallace is a Family in York, Pennsylvania. Nickola Kim Wallace practices all healthcare services and medical treatments related to Family. The NPI Number for Nickola Kim Wallace is 1326073040. The last update date is 2007-07-09.
Nickola Kim Wallace's current location address is 1001 S George St, York, Pennsylvania. You can contact this provider via phone number 7178512521 and fax number 7178513535. The mailing address for Nickola Kim Wallace is 1001 S George St, York, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nickola Kim Wallace |
|---|---|
| Address | 1001 S George St, York, Pennsylvania |
| Phone Number | 7178512521 |
| Fax Number | 7178513535 |
| Sole Proprietor | N |
| Credentials | CRNP |
NPI Number Detail
| NPI Number | 1326073040 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1001 S George St |
|---|---|
| City | York |
| State | Pennsylvania (PA) |
| Post Code | 17405 |
| Phone Number | 7178512521 |
| Fax Number | 7178513535 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | TP006718B |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 50048998 | PA | CAPITAL BLUE CROSS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Nickola Kim Wallace by the Centers for Medicare & Medicaid Services?
The Nickola Kim Wallace has been assigned the NPI (National Provider Identifier) 1326073040 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Nickola Kim Wallace's facilities are situated?
The facilities of Nickola Kim Wallace are physically located at the following address: 1001 S George St, York, PA, 17405.
What is Nickola Kim Wallace's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Nickola Kim Wallace is Family, and the taxonomy code that categorizes this field of expertise is 363Lf0000X.
When was the Nickola Kim Wallace's 1326073040 issued?
The Nickola Kim Wallace's 1326073040 was issued on 2006-07-11.
When was the Nickola Kim Wallace's information last updated?
The Nickola Kim Wallace's information was last updated on 2007-07-09.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN