Ms. Heather Marie Wallick
Nurse Practitioner - Adult Health Nurse Practitioner - Community Health
5820 York Rd
Baltimore
, Maryland 21212-3610
Ms. Heather Marie Wallick
Nurse Practitioner - Adult Health Nurse Practitioner - Community Health
5820 York Rd
Baltimore
, Maryland 21212-3610
(717) 755-4422
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About
Features
Specialties
- Nurse Practitioner - Adult Health
- Nurse Practitioner - Community Health
Languages spoken
- English
Location
First Address
- Ms. Heather Marie Wallick
- 7708 Old Alexandria Ferry Rd
- Clinton, MD
- Zip : 20735-1872
- Phone : (717) 755-4422
Second Address
- Ms. Heather Marie Wallick
- 5820 York Rd
- Baltimore, MD
- Zip : 21212-3610
- Fax : (844) 587-1405
- Phone : (301) 266-0493
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Is Ms. Heather Marie Wallick a sole practitioner?
Is Ms. Heather Marie Wallick accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LA2200X | Nurse Practitioner - Adult Health | SP012547 | PA |
| Y | 363LC1500X | Nurse Practitioner - Community Health | R207551 | MD |
National Provider Identifier
| NPI | 1588908347 |
|---|---|
| Provider Name | Ms. Heather Marie Wallick |
| First Address | Clinton, MD 20735-1872 |
| Second Address | Baltimore, MD 21212-3610 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/11/2012 |
| Last Update Date | 10/10/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A0912084 | AMERICAN ACADEMY OF NURSE PRACTITIONERS (01) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.