Wall, Katie Ellen

Wall, Katie Ellen is an individual health care provider with primary practice located at 14044 W Camelback Rd Ste 118 , Litchfield Park AZ 85340-9481. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wall, Katie Ellen can be contacted via phone (623) 547-2600.

Contact Information

Primary practice address
14044 W Camelback Rd Ste 118 Litchfield Park AZ 85340-9481
Phone: (623) 547-2600
Fax: (623) 547-1899
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP3688 Arizona

Profile Details

NPI number 1649584384
LBN Legal business name Wall, Katie Ellen
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2010
Last updated Mar 17th, 2018 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1649584384 NPPES
Arizona MEDICAID 560359

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