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Individual

MRS. ANDREA S. WALL

Active
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Individual

MRS. ANDREA S. WALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP

Taxonomy

Speciality
Code
Description
License number
State
163WS0121X
Plastic Surgery Registered Nurse
R31459
NM
363LA2100X
Acute Care Nurse Practitioner
Primary
R0086862
OK

Other

Enumeration date
02/15/2006
Last updated
02/22/2013
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