Individual provider · Type 1 NPI

Alyssa Wall

Psychiatric/Mental Health Nurse Practitioner · Mason, OH

NPI number 1972131878 Active · reactivated Aug 25, 2021

Practice location

4075 Old Western Row Rd
Mason, OH 45040-3104

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse 163WP0808X219471 (TN)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X30113 (TN)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X0031874 (OH)
Registered Nurse 163W00000X511767 (OH)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1972131878

Alyssa Wall's National Provider Identifier is 1972131878, issued on Mar 28, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Mason, OH. The record was last updated on Oct 18, 2022.