Individual
MRS. KIM MARIE WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1951 N WILMOT RD STE 3, TUCSON, AZ 85712-8000
(520) 327-9573
Mailing address
17 W SUFFOLK DR, TUCSON, AZ 85704-7138
(520) 437-9277
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP10986
AZ
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
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