Individual
RAQUEL WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1490 E FOREMASTER DR STE 320, SAINT GEORGE, UT 84790-4505
(435) 359-3115
(435) 319-7123
Mailing address
1490 E FOREMASTER DR STE 320, SAINT GEORGE, UT 84790-4505
(435) 359-3115
(435) 319-7123
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
217908-4405
UT
Other
Enumeration date
09/04/2020
Last updated
07/11/2024
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