STACI WALL, NP
Nurse Practitioner
Active
Individual
NPI: 1629068291
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Registered Nurse | 163W00000X | No | 28086186 (IN) |
| Nurse Practitioner | 363L00000X | Yes | 71003769 (IN) |
Frequently Asked Questions
NPI 1629068291 is the National Provider Identifier for STACI WALL, NP, a Nurse Practitioner provider located in Fort Wayne, IN. This NPI was enumerated on October 25, 2005.
STACI WALL, NP practices at 7988 W JEFFERSON BLVD, Fort Wayne, IN 46804.
Quick Facts
- NPI
- 1629068291
- Type
- Individual
- Enumerated
- Oct 25, 2005
- Last Updated
- Jan 31, 2018
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