Individual
ALEXANDRA N WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2390407
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2390407
MA
Other
Enumeration date
05/01/2025
Last updated
09/14/2025
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