Individual provider · Type 1 NPI

Andrea S. Wall, ACNP

Acute Care Nurse Practitioner · Tulsa, OK

NPI number 1043284292 Active

Practice location

10109 E 79th St
Tulsa, OK 74133-4564

Fax (918) 249-7532

Specialties and licenses

TaxonomyCodeLicense
Plastic Surgery Registered Nurse 163WS0121XR31459 (NM)
Acute Care Nurse Practitioner Primary 363LA2100XR0086862 (OK)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1043284292

Andrea S. Wall, ACNP's National Provider Identifier is 1043284292, issued on Feb 15, 2006. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Tulsa, OK. The record was last updated on Feb 22, 2013.