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SHERRY RENEA WALL RN NPI 1841529013


NPI Information

NPI: 1841529013
Provider Name: SHERRY RENEA WALL, RN
Classification: Registered Nurse - 163WP2201X
Entity Type: Individual

Specialization: Ambulatory Care

Address:
1090 GOAT SPRING ROAD
TAOS, NM
ZIP 87571
Phone: (575) 758-4224
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Sherry Renea Wall, RN is an ambulatory care registered nurse in Taos, NM. Sherry Renea Wall, RN NPI is 1841529013. 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:

1090 GOAT SPRING ROAD
TAOS, NM
ZIP 87571
Phone: (575) 758-4224
Fax: (575) 751-5210

The enumeration date for this NPI number is 12/16/2009 and was last updated on 12/16/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163WP2201XRegistered NurseAmbulatory CareRN173987GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1K3543MEDICARE PINNEW MEXICO

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.