Individual
MRS. DIANA LEON WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
10628 PARK RD, CHARLOTTE, NC 28210-8407
(704) 667-7836
Mailing address
7500 PINE RIDGE DR, DENVER, NC 28037-9384
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
580
NC
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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