NICOLA CLARKE WALLEN

WALDORF, MD
NPI1659413615
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD  R190596)
Enumeration Date2007-02-13
Last Update Date2020-08-25
Business Address
NICOLA CLARKE WALLEN PMHNP
3261 OLD WASHINGTON RD STE 2020
WALDORF, MD 20602-3231
Phone number: 301-960-8930
Mailing Address
NICOLA CLARKE WALLEN PMHNP
3307 DUNWOOD RIDGE TER
BOWIE, MD 20721-1259
Phone number: 202-569-2638
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