Individual provider · Type 1 NPI
Kimberly Theresa McClintock-Walla, NP
Adult Health Nurse Practitioner · Pearl River, NY
NPI number
1750163705
Active
Practice location
67 S Main St
Pearl River, NY 10965-2444
Fax (845) 368-0810
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pain Medicine Physician | 208VP0000X | 311577 (NY) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 311577 (NY) |
Adult Health Nurse Practitioner: Definition to come...
3 other providers at this address
Other adult health nurse practitioner providers in Pearl River
About NPI 1750163705
Kimberly Theresa McClintock-Walla, NP's National Provider Identifier is 1750163705, issued on Oct 16, 2023. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Pearl River, NY. The record was last updated on Oct 16, 2023.