Individual provider · Type 1 NPI

Renee V. Wall, PA-C

Physician Assistant · Wilmington, NC

NPI number 1629139670 Active

Practice location

3787 Shipyard Blvd
Wilmington, NC 28403-6148

Fax (910) 251-0421

Mailing address

2716 Ashton Dr
Wilmington, NC 28412-2489

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA18633 (CA)
Physician Assistant 363A00000XPA60150098 (WA)
Physician Assistant Primary 363A00000X0010-04392 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1629139670

Renee V. Wall, PA-C's National Provider Identifier is 1629139670, issued on Dec 13, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Wilmington, NC. The record was last updated on Sep 30, 2013.