Nichole Wallace, PA
Physician Assistant · Brooklyn, NY
UnclaimedPANPI 1114379708
- Primary taxonomy
- 363AM0700X
- Enumerated
- 2016-07-06
- Practice location
- Brooklyn, NY
- Last NPPES update
- 2023-08-18
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.