Individual provider · Type 1 NPI

Aishia Symone Wall, NP

Family Nurse Practitioner · Fairport, NY

NPI number 1790331981 Active

Practice location

41 Oconnor Rd
Fairport, NY 14450-1327

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X352346 (NY)
Registered Nurse 163W00000X747632 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1790331981

Aishia Symone Wall, NP's National Provider Identifier is 1790331981, issued on Aug 13, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fairport, NY. The record was last updated on Aug 16, 2024.