Individual provider · Type 1 NPI
Crystal Teresa Wall, FNP
Family Nurse Practitioner · Charlotte, NC
NPI number
1093296022
Active
Practice location
515 Sawyers Mill Rd Apt 105
Charlotte, NC 28262-1893
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 5010941 (NC) |
Family Nurse Practitioner: Definition to come...
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About NPI 1093296022
Crystal Teresa Wall, FNP's National Provider Identifier is 1093296022, issued on Aug 27, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Charlotte, NC. The record was last updated on Nov 26, 2019.