Nyetta Pendleton-Wallace, M.ED.

Case Manager/Care Coordinator · Horsham, PA

Individual Active NPI

NPI number 1194587055

Practice location

721 Dresher Rd Ste 1100
Horsham, PA 19044-2216
Phone
(215) 254-6000
Fax
(215) 754-1705

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NPI record

NPI
1194587055
Entity type
Individual (Type 1)
Enumeration date
January 26, 2024
Last updated
January 15, 2025
Certified
January 15, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — —

Mailing address

715 Twining Rd Ste 120
Dresher, PA 19025-1832
Phone
(215) 254-6000
Fax
(215) 754-1705

Other practice locations (1)

  • 795 E Lancaster Ave Ste 250, Villanova, PA 19085-1500 · (215) 254-6000

About Nyetta Pendleton-Wallace

Nyetta Pendleton-Wallace, M.ED. is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 721 Dresher Rd Ste 1100, Horsham, PA 19044-2216. The NPI number 1194587055 was assigned on January 26, 2024 and the record was last updated on January 15, 2025.

Frequently asked questions

What is the NPI number of Nyetta Pendleton-Wallace, M.ED.?

The NPI number is 1194587055.

What is the phone number of Nyetta Pendleton-Wallace?

The phone number listed for the practice location is (215) 254-6000.

Where is Nyetta Pendleton-Wallace located?

721 Dresher Rd Ste 1100, Horsham, PA 19044-2216.

What is the taxonomy code for Nyetta Pendleton-Wallace?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.