Individual provider · Type 1 NPI

Angela Marie Wall

Licensed Practical Nurse · Pomona, CA

NPI number 1316525041 Active

Practice location

845 E Arrow Hwy
Pomona, CA 91767-2535

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X287961 (CA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1316525041

Angela Marie Wall's National Provider Identifier is 1316525041, issued on Apr 1, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Pomona, CA. The record was last updated on Apr 1, 2021.