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Individual

AMY K WALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
6031 E WOODMEN RD STE 200, COLORADO SPRINGS, CO 80923-2625
(719) 577-2555
(719) 597-6425
Mailing address
7951 E MAPLEWOOD AVE STE 350, GREENWOOD VILLAGE, CO 80111-4758
(303) 930-7803

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
96546
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23580
KAISER COMMERCIAL NUMBER
CO
05
65274351
CO
Enumeration date
05/21/2010
Last updated
10/04/2023
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