Individual
NANCY WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
99 MAIN ST, DELHI, NY 13753-1221
(607) 832-5200
Mailing address
6558 RIVER RD, DOWNSVILLE, NY 13755-3700
(607) 363-7327
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
255689-1
NY
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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