Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NICOLE TANNER WALLACE, PHD, MED
ActiveDR. NICOLE TANNER WALLACE, PHD, MED is a Health Educator healthcare provider located in SEWICKLEY, Pennsylvania. NPI 1548122955 is currently active in the NPPES registry. Verify at CMS.
Health Educator · SEWICKLEY, PA
Registration Details
- NPI Number
- 1548122955
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 25, 2025 (0.76337097681034 yrs)
- Last Updated
- Nov 25, 2025
Practice Information
- Address
-
521 THORN ST UNIT 136SEWICKLEY, PA, 151436608Browse PA providers · Browse ZIP 15143
- Phone
- 4122127027
- Primary Specialty
-
Health Educator
174H00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.