DR. NICOLE TANNER WALLACE PHD MED NPI 1548122955

NPI Information

  • NPI: 1548122955
  • Provider Name: DR. NICOLE TANNER WALLACE, PHD, MED
  • Classification: Health Educator - 174H00000X
  • Entity Type: Individual
  • Address: 521 THORN ST UNIT 136
    SEWICKLEY, PA
    ZIP 15143
  • Phone: (412) 212-7027

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NPI Details

DR. Nicole Tanner Wallace, PHD, MED is a health educator in Sewickley, PA. The provider is health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor's degree and may receive additional training, such as through mentoring, internships, or volunteer work. DR. Nicole Tanner Wallace, PHD, MED NPI is 1548122955. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

521 THORN ST UNIT 136
SEWICKLEY, PA
ZIP 15143-608
Phone: (412) 212-7027

The enumeration date for this NPI number is 11/25/2025 and was last updated on 11/25/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174H00000XHealth EducatorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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