MELISSA ANN WALLACE

STATE COLLEGE, PA
NPI1023524501
Former NameMELISSA ANN BOETEL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: PA  SP018172)
Enumeration Date2017-12-20
Last Update Date2019-11-07
Business Address
MELISSA ANN WALLACE CRNP
905 UNIVERSITY DR
STATE COLLEGE, PA 16801-6626
Phone number: 814-238-8418
Mailing Address
MELISSA ANN WALLACE CRNP
905 UNIVERSITY DR
STATE COLLEGE, PA 16801-6626
Phone number: 814-238-8418
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