Individual provider · Type 1 NPI

Nancy Wallace, FNP

Family Nurse Practitioner · Cooperstown, NY

NPI number 1245996628 Active

Practice location

1 Atwell Rd
Cooperstown, NY 13326

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	348816 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1245996628

Nancy Wallace, FNP's National Provider Identifier is 1245996628, issued on Nov 10, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Cooperstown, NY. The record was last updated on Oct 8, 2025.