Individual
DR. NICOLE TANNER WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, MED
Contact information
Practice address
521 THORN ST UNIT 136, SEWICKLEY, PA 15143-6608
(412) 212-7027
Mailing address
521 THORN ST UNIT 136, SEWICKLEY, PA 15143-6608
(412) 212-7027
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
11/25/2025
Last updated
11/25/2025
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