Pennsylvania
Department of State
NICKOLA MCCARTY WALLACE
Certified Registered Nurse Practitioner
License number
TP006718B
Date granted
09/28/2000
Date expires
10/31/2016
Class
Certified Registered Nurse Practitioner
Status
Active
Address
CENTRE HALL PA 16828
palicensing.org
ID 37707445
LAST UPDATED 2026-05-04 19:50:17 UTC
LAST UPDATED 2026-05-04 19:50:17 UTC
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