CATHERINE B WALL PNP-BC NPI 1740409143

NPI Information

NPI: 1740409143
Provider Name: CATHERINE B WALL, PNP-BC
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
450 BROOKLINE AVE
DANA 3
BOSTON, MA
ZIP 02215
Phone: (617) 632-5464
Get Directions

Catherine B Wall, PNP-BC is a pediatrics nurse practitioner in Boston, MA. Catherine B Wall, PNP-BC NPI is 1740409143. 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:

450 BROOKLINE AVE
DANA 3
BOSTON, MA
ZIP 02215
Phone: (617) 632-5464
Fax: (617) 582-8350

The enumeration date for this NPI number is 4/24/2007 and was last updated on 10/28/2015.

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	363LP0200X	Nurse Practitioner	Pediatrics	F381877-1	NEW YORK	No
2	363LP0200X	Nurse Practitioner	Pediatrics	RN270714	MASSACHUSETTS	Yes

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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