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STACI WALL, NP

NP

Nurse Practitioner

NPI: 1629068291Individual

Specialties, Licenses & Credentials

Registered Nurse

Code: 163W00000X

28086186(IN)

Nurse Practitioner

Code: 363L00000X

71003769(IN)

Contact & Hours

Address
7988 W JEFFERSON BLVD
FORT WAYNE, IN 46804

Quick Facts

NPI
1629068291
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
2
Locations
1

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