Individual
MRS. ELIZABETH WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
11085 LITTLE PATUXENT PKWY, SUITE 004, COLUMBIA, MD 21044-2983
(410) 730-0185
Mailing address
5655 CHAMBLIS DR, CLARKSVILLE, MD 21029-1131
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R112671
MD
Other
Enumeration date
03/01/2006
Last updated
04/30/2015
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