NICOLE WALLS – NPI #1134693732
Clinic/Center

NICOLE WALLS is an AHC clinic located in OOLOGAH, OK. NPPES has assigned the NPI number 1134693732 to NICOLE WALLS on January 16, 2019. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NICOLE WALLS below.

NPI Profile for
NICOLE WALLS

NPI Number
1134693732
Enumeration Date

(more than 7 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
NICOLE WALLS
Primary location
10700 US 169
OOLOGAH, OK 74080
Phone: (918) 798-1062 Fax:
Mailing address
1402 N FLORENCE AVE
CLAREMORE, OK 74017-3159
Phone: (918) 615-9472 Fax:
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)
OK

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.