Individual provider · Type 1 NPI

Bonita A. Wall

Licensed Practical Nurse · Reading, PA

NPI number 1760706493 Active

Practice location

200 Penn St
Reading, PA 19602-1000

Mailing address

303 Miller St
Reading, PA 19602-2123

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN269484 (PA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1760706493

Bonita A. Wall's National Provider Identifier is 1760706493, issued on Mar 24, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Reading, PA. The record was last updated on Mar 24, 2010.