Individual provider · Type 1 NPI
Catherine B. Wall, PNP-BC
Pediatric Nurse Practitioner · Boston, MA
NPI number
1740409143
Active
Practice location
450 Brookline Ave, Dana 3
Boston, MA 02215
Fax (617) 582-8350
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | F381877-1 (NY) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | RN270714 (MA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1740409143
Catherine B. Wall, PNP-BC's National Provider Identifier is 1740409143, issued on Apr 24, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Boston, MA. The record was last updated on Oct 28, 2015.