Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACI L WALL, NP
ActiveSTACI L WALL, NP is a Nurse Practitioner healthcare provider located in FORT WAYNE, Indiana. NPI 1629068291 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · FORT WAYNE, IN
Registration Details
- NPI Number
- 1629068291
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 25, 2005 (20.828877747069 yrs)
- Last Updated
- Jan 31, 2018
- Licenses
-
28086186 (IN)71003769 (IN)
Practice Information
- Address
-
7988 W JEFFERSON BLVDFORT WAYNE, IN, 468044140Browse IN providers · Browse ZIP 46804
- Phone
- 2604324400
- Fax
- 2609696898
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
Other Nurse Practitioner Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| KAREN E. SPRINGER | NP | 1225035421 |
| BEATRICE K TROXELL | NP | 1376542126 |
| REGINALD L HUMPHREY | NP | 1619978178 |
| JOYCE A FISHER | NP | 1962404392 |
| VALERIE L STUCKY | NP | 1750373601 |
| VICKI L BAHLS | NP | 1619962198 |
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.