Individual provider · Type 1 NPI

Stacey B. Wall, N.P.

Adult Health Nurse Practitioner · Syracuse, NY

NPI number 1427299197 Active

Practice location

945 E Genesee St, Suite 200
Syracuse, NY 13210-1752

Fax (315) 475-0824

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XF300896 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1427299197

Stacey B. Wall, N.P.'s National Provider Identifier is 1427299197, issued on Mar 10, 2009. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Syracuse, NY. The record was last updated on Jan 11, 2012.