Individual provider · Type 1 NPI
Kimberly Ann Wall, NP
Gerontology Nurse Practitioner · Melrose, MA
NPI number
1689310849
Active
Practice location
585 Lebanon St Ste 401
Melrose, MA 02176-3225
Fax (781) 979-3421
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | RN211764 (MA) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | RN211764 (MA) |
Gerontology Nurse Practitioner: Definition to come...
2 other providers at this address
Other gerontology nurse practitioner providers in Melrose
About NPI 1689310849
Kimberly Ann Wall, NP's National Provider Identifier is 1689310849, issued on May 10, 2022. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Melrose, MA. The record was last updated on Sep 16, 2026.