Individual
CRYSTAL LYNNE WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
500 WHITESBORO ST, UTICA, NY 13502-3015
(315) 724-5168
Mailing address
518 JAMES ST, SYRACUSE, NY 13203-2238
(315) 474-5506
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
955540-01
NY
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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