Stacey B Wall N.P.

NPI 1427299197 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1427299197
Gender Female
Enumeration Date 03/10/2009
Last Updated 01/11/2012
Entity Type Individual
Active Over 7 years ago
Practice Location
945 E GENESEE ST
SUITE 200
SYRACUSE NY, 13210-1752, US
Phone (315) 475-8401
Fax (315) 475-0824
Business Location
945 E GENESEE ST
SUITE 200
SYRACUSE NY, 13210-1752, US
Phone (315) 475-8401
Fax (315) 475-0824
Toxanomy
Taxonomy Code 363LA2200X
License State New York
License Number F300896
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According to our database, Stacey B Wall N.P. NPI is 1427299197, taxonomy code is 363LA2200X and license number is F300896, license state is located at New York. Stacey B Wall N.P. physically located at 945 E Genesee St, Syracuse NY, 13210-1752. NPI Number Stacey B Wall N.P. has the Individual type.

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1427299197 NPI number is provided on an as is basis without warranty of any kind. 1427299197 is maintained by the National Plan & Provider Enumeration System. The contents of Stacey B Wall N.P. are for informational purposes only.