Individual
MEGHAN WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
500 WIND RIDGE DR, WAUSAU, WI 54401-4173
(715) 847-2611
(715) 847-2665
Mailing address
500 WIND RIDGE DR, WAUSAU, WI 54401-4173
(715) 847-2611
(715) 847-2665
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
243532-30
WI
163W00000X
Registered Nurse
4704267947
MI
363LF0000X
Family Nurse Practitioner
4704267947
MI
363LF0000X
Family Nurse Practitioner
Primary
8607-33
WI
Other
Enumeration date
03/06/2017
Last updated
10/04/2018
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