Individual provider · Type 1 NPI

Nickola Kim Wallace, CRNP

Family Nurse Practitioner · York, PA

NPI number 1326073040 Active

About NPI 1326073040

Nickola Kim Wallace, CRNP's National Provider Identifier is 1326073040, issued on Jul 11, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in York, PA. The record was last updated on Jul 9, 2007.