National Provider Identifier

Roxanne Marie Wall, R.N.

Roxanne Marie Wall, R.N. is listed in the NPPES registry with a primary specialty of Registered Nurse in Gowanda, NY and a listed phone number of (716) 799-4429.

NPI 1174801450Gowanda, NYRegistered Nurse

Profile Overview

NPI
1174801450
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
August 03, 2011
Last Updated
August 03, 2011

Practice Location

  • 10375 Route 62
  • Gowanda, NY 14070-9690

Phone: (716) 799-4429

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1174801450
Entity Type
Individual
Last Name
Wall
First Name
Roxanne
Middle Name
Marie
Name Prefix
Miss
Credential
R.N.
Mailing Street Address
10375 Route 62
Mailing City
Gowanda
Mailing State
NY
Mailing ZIP Code
14070-9690
Mailing Country
US
Mailing Phone
(716) 799-4429
Practice Street Address
10375 Route 62
Practice City
Gowanda
Practice State
NY
Practice ZIP Code
14070-9690
Practice Country
US
Practice Phone
(716) 799-4429
Enumeration Date
August 03, 2011
Last Updated
August 03, 2011
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)