Wall, Vicky Dianne

Wall, Vicky Dianne is an individual health care provider with primary practice located at Dept. Of Veterans Affairs Medical Center Shreveport Hwy, Alexandria LA 71306. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Wall, Vicky Dianne can be contacted via phone (318) 473-0010.

Contact Information

Primary practice address
Dept. Of Veterans Affairs Medical Center Shreveport Hwy Alexandria LA 71306
Phone: (318) 473-0010
Fax: (318) 483-5182
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APO3738 Louisiana

Profile Details

NPI number 1083718159
LBN Legal business name Wall, Vicky Dianne
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2006
Last updated Jul 8th, 2007 - about 17 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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