Individual
MELANIE M WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2300 S 16TH ST, LINCOLN, NE 68502-3704
(402) 481-8566
(402) 481-8805
Mailing address
2300 S 16TH ST, LINCOLN, NE 68502-3704
(402) 481-8566
(402) 481-8805
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
095108
IA
363A00000X
Physician Assistant
Primary
2323
NE
Other
Enumeration date
02/05/2019
Last updated
02/01/2022
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