Individual
MRS. ERICA WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
23 HIGH ST, CHATHAM, NY 12037-1127
(518) 364-5854
Mailing address
23 HIGH ST, CHATHAM, NY 12037-1127
(518) 364-5854
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404981
NY
Other
Enumeration date
02/09/2017
Last updated
05/31/2023
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