Individual provider · Type 1 NPI
Elizabeth Ann Wall, NP
Family Nurse Practitioner · College Place, WA
NPI number
1639158264
Active
Practice location
722 South College Avenue
College Place, WA 99324
Fax (509) 691-6317
Mailing address
722 S College Ave
College Place, WA 99324-1519
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | AP60334140 (WA) |
| Family Nurse Practitioner | 363LF0000X | 087000077N1 (OR) |
Family Nurse Practitioner: Definition to come...
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About NPI 1639158264
Elizabeth Ann Wall, NP's National Provider Identifier is 1639158264, issued on Jan 12, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in College Place, WA. The record was last updated on Sep 8, 2025.