Individual
ALICIA N WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C, PMHNP
Contact information
Practice address
110 S STANFIELD RD STE C, TROY, OH 45373-3689
(937) 787-6859
(937) 500-5401
Mailing address
24 WAGNER RD, WEST MILTON, OH 45383-1612
(937) 760-8960
(937) 500-5401
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN.CNP.0027836
OH
363LF0000X
Family Nurse Practitioner
APRN.CNP.0027836
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0027836
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0442294
—
OH
Enumeration date
10/20/2020
Last updated
07/24/2025
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