Individual provider · Type 1 NPI

Melissa Ann Wallace, CRNP

Family Nurse Practitioner · State College, PA

NPI number 1023524501 Active

Practice location

905 University Dr
State College, PA 16801-6626

Fax (814) 234-2888

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XSP018172 (PA)

Family Nurse Practitioner: Definition to come...

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About NPI 1023524501

Melissa Ann Wallace, CRNP's National Provider Identifier is 1023524501, issued on Dec 20, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in State College, PA. The record was last updated on Nov 7, 2019.