| NPI | 1043284292 |
|---|---|
| Professional Name | ANDREA S. WALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: OK R0086862) |
| Additional Taxonomies | 163WS0121X Registered Nurse Plastic Surgery (Licence: NM R31459) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2013-02-22 |