Vicky Dianne Wall NURSE PRACTITIONER

NPI 1083718159 - Nurse Practitioner - 363LA2100X

NPI Details
NPI 1083718159
Gender Female
Enumeration Date 09/11/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
DEPT. OF VETERANS AFFAIRS MEDICAL CENTER
SHREVEPORT HWY
ALEXANDRIA LA, 71306, US
Phone (318) 473-0010
Fax (318) 483-5182
Business Location
413 E RIDGE DR
PINEVILLE LA, 71360-4701, US
Phone (318) 473-0010
Fax (318) 483-5182
Toxanomy
Taxonomy Code 363LA2100X
License State Louisiana
License Number APO3738
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According to our database, Ms. Vicky Dianne Wall NURSE PRACTITIONER NPI is 1083718159, taxonomy code is 363LA2100X and license number is APO3738, license state is located at Louisiana. Vicky Dianne Wall NURSE PRACTITIONER physically located at Dept. Of Veterans Affairs Medical Center, Alexandria LA, 71306. NPI Number Vicky Dianne Wall NURSE PRACTITIONER has the Individual type.

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1083718159 NPI number is provided on an as is basis without warranty of any kind. 1083718159 is maintained by the National Plan & Provider Enumeration System. The contents of Vicky Dianne Wall NURSE PRACTITIONER are for informational purposes only.