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Nicola Clarke Wallen Llc
Psychiatric/Mental Health Nurse Practitioner in Waldorf, Maryland
NPI 1609490788

Nicola Clarke Wallen Llc is a Psychiatric/Mental Health Nurse Practitioner based in Waldorf, MD and is specialized in Psychiatric/Mental Health. Nicola Clarke Wallen Llc practices in Waldorf, MD. The NPI Number for Nicola Clarke Wallen Llc is 1609490788 and holds a License No. (Maryland).

The current practice location address for Nicola Clarke Wallen Llc is 3261 Old Washington Rd Ste 2020, Waldorf, MD and can be reached out via phone at 301-960-8930.

Location: 3261 Old Washington Rd Ste 2020, Waldorf, MD, 20602-3231
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609490788
Provider Name
Nicola Clarke Wallen Llc
Credential
Provider Entity Type
Organization
Address
3261 Old Washington Rd Ste 2020, Waldorf, MD, 20602-3231
Phone Number
301-960-8930
Fax Number
Provider Enumeration Date
06/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3261 Old Washington Rd Ste 2020
City
Waldorf
State
Maryland
Zip
20602-3231
Phone Number
301-960-8930
Fax Number
person
Provider Business Mailing Address Details
Address
3261 Old Washington Rd Ste 2020
City
Waldorf
State
Maryland
Zip
20602-3231
Phone Number
301-960-8930
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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