NICKOLA KIM WALLACE

YORK, PA
NPI1326073040
Former NameNICKOLA KIM MCCARTY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: PA  TP006718B)
Enumeration Date2006-07-11
Last Update Date2007-07-09
Business Address
Ms. NICKOLA KIM WALLACE CRNP
1001 S GEORGE ST BLDG MKB
YORK, PA 17405
Phone number: 717-851-2521
Mailing Address
Ms. NICKOLA KIM WALLACE CRNP
1803 MOUNT ROSE AVE SUITE B3
YORK, PA 17403-3026
Phone number: 717-851-1405
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