DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. DEANNA M WALL, PA

Active

MRS. DEANNA M WALL, PA is a Medical Physician Assistant healthcare provider located in BOSTON, Massachusetts. NPI 1114963022 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · BOSTON, MA

Registration Details

NPI Number
1114963022
Provider Type
Individual
Gender
Female
NPI Issued
Jun 20, 2006 (20.144673122959 yrs)
Last Updated
Apr 4, 2024
Licenses
PA00511 (RI)
PA00511 (RI)
PA7360 (MA)

Practice Information

Address
75 FRANCIS ST
BOSTON, MA, 021156110
Browse MA providers · Browse ZIP 02115
Phone
6177325500
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in BOSTON, MA

Name Credential NPI
MS. DONNA M. FITZGERALD P.A. 1487659330
MS. JANICE MACGILLIVRAY PA-C 1700859212
MRS. MICHELLE LYN BAYTARIAN PA-C 1841259181
CRISTOBAL CORNEJO JR. PA-C 1659332799
TATJANA COTTA CONNORS PA 1669435723
HELENA DIMITRIOU PA 1962466177
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.