Individual
KRISTEN WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-2200
Mailing address
200 LUNA PARK DR APT 149, ALEXANDRIA, VA 22305-3143
(860) 508-1913
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN1061583
DC
363LF0000X
Family Nurse Practitioner
Primary
AC007471
MD
Other
Enumeration date
12/31/2024
Last updated
04/28/2025
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