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Individual

DANETTE WALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
481063-1
NY
163W00000X
Registered Nurse
Primary
9333015
FL
163WA2000X
Administrator Registered Nurse
481063-1
NY
163WA2000X
Administrator Registered Nurse
9333015
FL
163WC0400X
Case Management Registered Nurse
481063-1
NY
163WC0400X
Case Management Registered Nurse
9333015
FL

Other

Enumeration date
04/24/2015
Last updated
04/24/2015
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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