Wall, Andrea S.

Wall, Andrea S. is an individual health care provider with primary practice located at 10109 E 79Th St , Tulsa OK 74133-4564. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Plastic Surgery, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Wall, Andrea S. can be contacted via phone (918) 286-5131.

Contact Information

Primary practice address
10109 E 79Th St Tulsa OK 74133-4564
Phone: (918) 286-5131
Fax: (918) 249-7532
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Plastic Surgery 163WS0121X R31459 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X R0086862 Oklahoma

Profile Details

NPI number 1043284292
LBN Legal business name Wall, Andrea S.
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Feb 22nd, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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