Individual provider · Type 1 NPI
Kelli Maureen Wall, FNP-C
Family Nurse Practitioner · Charlotte, NC
NPI number
1811368905
Active
Practice location
110 Kildaire Farm Rd
Charlotte, NC 27518-8162
Fax (919) 235-6598
Mailing address
PO Box 602195
Charlotte, NC 28260-2195
Other practice locations
- 5918 Illuminate Ave, Raleigh, NC 27616-4347 · (815) 302-2494
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 5011726 (NC) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1811368905
Kelli Maureen Wall, FNP-C's National Provider Identifier is 1811368905, issued on Oct 14, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Charlotte, NC. The record was last updated on Dec 16, 2022.