Individual
KASEY WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP-BC
Contact information
Practice address
501 W HIGH ST, WAYNESBURG, PA 15370-7209
(724) 627-4309
Mailing address
1200 FAIRFIELD LN, MC DONALD, PA 15057-2389
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP017883
PA
Other
Enumeration date
09/08/2017
Last updated
09/08/2017
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