Individual
MRS. ANNA NORA WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4880 N HIGHWAY 19A, SUITE 200, MOUNT DORA, FL 32757-2018
(352) 589-8111
Mailing address
1755 GULF WINDS CT, APOPKA, FL 32712-8155
(407) 884-1699
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP 2852042
FL
Other
Enumeration date
09/25/2007
Last updated
09/25/2007
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