STACEY B WALL N.P. NPI 1427299197

NPI Information

NPI: 1427299197
Provider Name: STACEY B WALL, N.P.
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
945 E GENESEE ST
SUITE 200
SYRACUSE, NY
ZIP 13210
Phone: (315) 475-8401
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Stacey B Wall, N.P. is an adult health nurse practitioner in Syracuse, NY. Stacey B Wall, N.P. NPI is 1427299197. 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:

945 E GENESEE ST
SUITE 200
SYRACUSE, NY
ZIP 13210-752
Phone: (315) 475-8401
Fax: (315) 475-0824

The enumeration date for this NPI number is 3/10/2009 and was last updated on 1/11/2012.

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	363LA2200X	Nurse Practitioner	Adult Health	F300896	NEW YORK	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: 4/28/2024

NPI Synchronization or Removal

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