Individual provider · Type 1 NPI
Courtney Paige Wall, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · St. Louis, MO
NPI number
1639796766
Active
Practice location
2650 Olive St
St. Louis, MO 63103-1489
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 2020019958 (MO) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1639796766
Courtney Paige Wall, PMHNP-BC's National Provider Identifier is 1639796766, issued on Jul 6, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in St. Louis, MO. The record was last updated on May 27, 2021.