Individual
DEVON WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1635 AURORA CT, WISH, AURORA, CO 80045-2541
(720) 848-9474
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
990596
CO
363LP2300X
Primary Care Nurse Practitioner
Primary
APN.0990596-NP
CO
Other
Enumeration date
01/05/2012
Last updated
10/17/2018
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