BROOKE SHINAULT WALL NP NPI 1447535794

NPI Information

NPI: 1447535794
Provider Name: BROOKE SHINAULT WALL, NP
Classification: Nurse Practitioner - 363LN0000X
Entity Type: Individual

Specialization: Neonatal

PECOS Registration: Yes

Address:
3333 SILAS CREEK PKWY
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 718-3150
Get Directions

Brooke Shinault Wall, NP is a neonatal nurse practitioner in Winston Salem, NC. Brooke Shinault Wall, NP NPI is 1447535794. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3333 SILAS CREEK PKWY
WINSTON SALEM, NC
ZIP 27103-013
Phone: (336) 718-3150

The NPI 1447535794 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/19/2011 and was last updated on 3/4/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LN0000X	Nurse Practitioner	Neonatal	5005162	NORTH CAROLINA	Yes
2	363LN0005X	Nurse Practitioner	Neonatal, Critical Care	5005162	NORTH CAROLINA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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