Individual
STEVEN WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP-NA
Contact information
Practice address
8585 PICARDY AVE, BATON ROUGE, LA 70809-3748
(225) 763-4000
Mailing address
36394 BELLE JOURNEE AVE, GEISMAR, LA 70734-3379
(985) 507-6689
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
229097
LA
Other
Enumeration date
01/18/2023
Last updated
02/14/2023
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