person
Melissa Ann Wallace, CRNP
Family Nurse Practitioner in State College, Pennsylvania
NPI 1023524501

Melissa Ann Wallace is a Family Nurse Practitioner based in State College, PA and is specialized in Family. Melissa Ann Wallace practices in State College, PA and has the professional credentials of CRNP. The NPI Number for Melissa Ann Wallace is 1023524501 and holds a License No. SP018172 (Pennsylvania).

The current practice location address for Melissa Ann Wallace is 905 University Dr, State College, PA and can be reached out via phone at 814-238-8418 and via fax at 814-234-2888.

Location: 905 University Dr, State College, PA, 16801-6626
person
Provider Profile Details
NPI Number
1023524501
Provider Name
Melissa Ann Wallace
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
905 University Dr, State College, PA, 16801-6626
Phone Number
814-238-8418
Fax Number
814-234-2888
Provider Enumeration Date
12/20/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
905 University Dr
City
State
Zip
16801-6626
Phone Number
814-238-8418
Fax Number
814-234-2888
person
Provider Business Mailing Address Details
Address
905 University Dr
City
State
Zip
16801-6626
Phone Number
814-238-8418
Fax Number
814-234-2888
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
SP018172 (Pennsylvania)
Definition
Definition to come...
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