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Nicole Wallis

NPI 1629739206 · on the registry since 2022

Practice

Address
3000 N State Rd 135
Greenwood, IN 46143
Phone
(800) 777-7775
Clinicians at this address
3

Registry record

Primary taxonomy
225X00000X
225X00000X
Also registered as
225XN1300X
Sex
Female
Record last updated
2022-01-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana