Individual
SHERRY RENEA WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1090 GOAT SPRING ROAD, TAOS, NM 87571
(575) 758-4224
(575) 751-5210
Mailing address
PO BOX 1946, TAOS, NM 87571-1946
(575) 758-4224
(575) 751-5210
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
RN173987
GA
Other
Enumeration date
12/16/2009
Last updated
12/16/2009
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