Individual provider · Type 1 NPI
Nicola Clarke Wallen, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Waldorf, MD
NPI number
1659413615
Active
Practice location
3261 Old Washington Rd Ste 2020
Waldorf, MD 20602-3231
Mailing address
3307 Dunwood Ridge Ter
Bowie, MD 20721-1259
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | R190596 (MD) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
52 other providers at this address
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- Blessed Vine Healthcare Services LLCMental Health Clinic/Center (Including Community Mental Health Center) Waldorf, MD NPI 1619799459
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- Becky A. JacksPsychiatric/Mental Health Nurse Practitioner Waldorf, MD NPI 1245911767
About NPI 1659413615
Nicola Clarke Wallen, PMHNP's National Provider Identifier is 1659413615, issued on Feb 13, 2007. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Waldorf, MD. The record was last updated on Aug 25, 2020.