Nicola Clarke Wallen

PMHNP | Nurse Practitioner - Psych/Mental Health | 10+ years Exp

3261 Old Washington Rd Ste 2020, Waldorf
  Maryland, 20602-3231
301-960-8930
Accepts Medicare Nurse Anesthetist in Waldorf, Maryland.
Nicola Clarke Wallen is a Waldorf, Maryland based nurse practitioner with 10 years of experience in Psych/Mental Health. She completed her graduation in 2014. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Nicola Clarke Wallen is R190596 for Psych/Mental Health in Maryland. Her current practice location is 3261 Old Washington Rd Ste 2020, Waldorf. Patients can reach her at 301-960-8930. Nicola Clarke Wallen is PMHNP with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1659413615.
Nicola Clarke Wallen provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Nicola Clarke Wallen speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Nicola Clarke Wallen
Specialization: Psych/Mental Health Nurse Practitioner (PMHNP)
Gender:Female
Credentials: PMHNP
Experience: 10+ years
Medical School Attended:Other
Graduation Year:2014
Accepts Medicare Assignment:Yes
Practice Address:3261 Old Washington Rd Ste 2020, Waldorf,
Maryland, 20602-3231
Phone:301-960-8930
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 8820423734
Enrollment ID: I20200123001836
NPI Number: 1659413615
NPI Enumeration Date: 13 Feb, 2007
NPI Last Update On: 25 Aug, 2020

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicola Clarke Wallen are as mentioned below.
License NumberSpecializationStateStatus
R190596Psych/Mental Health MarylandPrimary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Nicola Clarke Wallen is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Lifespan Behavioral Health Services Pc (4082041637)16
()
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Nicola Clarke Wallen
3307 Dunwood Ridge Ter,
Bowie, Maryland
Zip: 20721-1259
Phone Number: 202-569-2638
Patients can reach Nicola Clarke Wallen at 3261 Old Washington Rd Ste 2020, Waldorf, Maryland or can call to book an appointment on 301-960-8930.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.