Individual
ROBERT BRIAN WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
258647
MA
363LF0000X
Family Nurse Practitioner
258647
MA
363LF0000X
Family Nurse Practitioner
Primary
CNP131013
ME
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
258647
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
CNP131013
ME
Other
Enumeration date
06/01/2006
Last updated
11/15/2013
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