Individual provider · Type 1 NPI

Crystal Lynne Wall, RN

Registered Nurse · Utica, NY

NPI number 1508732686 Active

Practice location

500 Whitesboro St
Utica, NY 13502-3015

Mailing address

518 James St
Syracuse, NY 13203-2238

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X955540-01 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1508732686

Crystal Lynne Wall, RN's National Provider Identifier is 1508732686, issued on Oct 15, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Utica, NY. The record was last updated on Oct 15, 2025.