Individual provider · Type 1 NPI
Nichole Wallace
Wound Care Registered Nurse · Mount Vernon, NY
NPI number
1265357305
Active
Practice location
450 Highland Ave
Mount Vernon, NY 10553-2109
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Wound Care Registered Nurse Primary | 163WW0000X | 882146 (NY) |
Wound Care Registered Nurse: Definition to come...
About NPI 1265357305
Nichole Wallace's National Provider Identifier is 1265357305, issued on Aug 10, 2026. The primary taxonomy on file is Wound Care Registered Nurse (163WW0000X), and the practice location is in Mount Vernon, NY. The record was last updated on Aug 10, 2026.