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Individual

MRS. LAURA C WALLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
1508 S BROAD ST STE 300, SCOTTSBORO, AL 35768-2668
(256) 259-3600
(256) 256-3601
Mailing address
1508 S BROAD ST STE 300, SCOTTSBORO, AL 35768-2668
(256) 259-3600
(256) 256-3601

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1-122464
AL
363LF0000X
Family Nurse Practitioner
30240
TN
363LF0000X
Family Nurse Practitioner
Primary
GAA-NP003539
GA

Other

Enumeration date
08/21/2017
Last updated
06/26/2025
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