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MS. NICKOLA KIM WALLACE CRNP
NPI 1326073040
Nurse Practitioner - Family in York, PA

Active since July 11, 2006
1001 S GEORGE ST, BLDG MKB, YORK, PA 17405(717) 851-2521(717) 851-3535 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Nickola Kim Wallace Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. NICKOLA KIM WALLACE CRNP (NPI 1326073040) is an individual family provider in York, Pennsylvania, licensed in Pennsylvania (TP006718B) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1326073040
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. NICKOLA KIM WALLACECredential: CRNP
Location Address1001 S GEORGE ST, BLDG MKBYork, PA 17405
Mailing Address1803 Mount Rose Ave, Suite B3York, PA 17403-3026 · (717) 851-1405 · Fax (717) 851-6969
Phone(717) 851-2521
Fax(717) 851-3535
Sole ProprietorNo
Enumeration DateJuly 11, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1326073040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · TP006718B
1001 S GEORGE ST, York, PA 17405
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Other Names 1

Former Name (1)Ms. Nickola Kim Mccarty

Other Identifiers 3

Other50048998PA · Capital Blue Cross
Medicare ID-Type Unspecified050483EZ3PA · Pa Medicare
Medicare UPINP38551PA

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STANLEY DERRICK HURTT MD
Pathology (Anatomic Pathology & Clinical Pathology)
1001 S GEORGE ST, DEPARTMENT OF PATHOLOGY
YORK, PA 17405
York County (717) 851-5001
DR. STEVEN LEWIS SHAPIRO MD
Pediatrics (Neonatal-Perinatal Medicine)
1001 S GEORGE ST
YORK, PA 17405
York County (717) 851-2613
DR. THOMAS JOSEPH SCHMITZ SR. MD
Anesthesiology
1001 S GEORGE ST
YORK, PA 17405
York County (717) 851-4840
DR. MICHAEL HOWARD GOODSTEIN MD
Hospitalist
1001 S GEORGE ST
YORK, PA 17405
York County (717) 851-2613
DR. RAKESH B PATEL MD
Pediatrics
1001 S GEORGE ST
YORK, PA 17405
York County (717) 851-3884
ERIC P BOWMAN MD
Emergency Medicine
1001 S GEORGE ST
YORK, PA 17405
York County (717) 851-2450

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nickola Wallace's NPI number?

The NPI number for Nickola Wallace is 1326073040. It was assigned to this individual provider in the NPPES registry on July 11, 2006. The provider is also known as Ms. Nickola Kim Mccarty.

Where is Nickola Wallace located?

Nickola Wallace practices at 1001 S George St Bldg Mkb, York, PA 17405. The listed phone number is (717) 851-2521.

What is Nickola Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Nickola Wallace was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.