Individual
MS. DIANNA MILDRED WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1627 W CHEW ST, SUITE 101, ALLENTOWN, PA 18102-3648
(610) 969-4370
(610) 969-3445
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
UP005414B
PA
Other
Enumeration date
11/17/2005
Last updated
12/23/2015
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