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Individual

CHERYL ANN WALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
543 TAYLOR AVE, COLUMBUS, OH 43203-1278
(607) 931-4293
(614) 293-6111
Mailing address
700 ACKERMAN RD STE 570, COLUMBUS, OH 43202-1579
(614) 293-4969
(614) 293-6111

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.10259
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0068012
OH
Enumeration date
02/18/2009
Last updated
07/21/2022
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