Nicole Walls

NPI #1134693732 in Oologah, Oklahoma

Provider Information

NPI Number: 1134693732
Entity Type: Individual
Name: Nicole Walls
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jan 16, 2019
Last Updated: Jan 16, 2019

Practice Location

Address: 10700 US 169
City: Oologah
State: Oklahoma
ZIP Code: 74080
Phone: (918) 798-1062

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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