Individual
SCOTT WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6917 TOLL MOUNTAIN ST, NORTH LAS VEGAS, NV 89086-1599
(985) 320-1532
Mailing address
6917 TOLL MOUNTAIN ST, NORTH LAS VEGAS, NV 89086-1599
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F12220181
NV
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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