Individual provider · Type 1 NPI
Michael Wall
School Clinical Nurse Specialist · Lindenhurst, NY
NPI number
1083300123
Active
Practice location
Lindenhurst Middle School, 350 South Wellwood Ave
Lindenhurst, NY 11757
Mailing address
25 Lloyd Ln
Nesconset, NY 11767-2208
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Clinical Nurse Specialist Primary | 364SS0200X | 447785 (NY) |
School Clinical Nurse Specialist: Definition to come...
About NPI 1083300123
Michael Wall's National Provider Identifier is 1083300123, issued on Apr 12, 2023. The primary taxonomy on file is School Clinical Nurse Specialist (364SS0200X), and the practice location is in Lindenhurst, NY. The record was last updated on Apr 12, 2023.