Individual
MS. HEATHER MARIE WALLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
18 S CHARLES ST, DALLASTOWN, PA 17313-2218
(301) 266-0493
(844) 587-1405
Mailing address
800 E KING ST # 510, YORK, PA 17403-1781
(301) 266-0493
(844) 587-1405
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
APRN11016256
FL
363LA2200X
Adult Health Nurse Practitioner
R207551
MD
363LA2200X
Adult Health Nurse Practitioner
Primary
SP012547
PA
Other
Enumeration date
11/19/2012
Last updated
08/01/2024
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