National Provider Identifier

Melissa J Wall, LPN

Melissa J Wall, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Tonawanda, NY and a listed phone number of (716) 837-1044.

NPI 1497279566Tonawanda, NYLicensed Practical Nurse

Profile Overview

NPI
1497279566
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
August 01, 2017
Last Updated
August 01, 2017

Practice Location

  • 432 Ashford Ave # Vae
  • Tonawanda, NY 14150-7002

Phone: (716) 837-1044

Mailing Address

  • 432 Ashford Ave
  • Tonawanda, NY 14150-7002

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1497279566
Entity Type
Individual
Last Name
Wall
First Name
Melissa
Middle Name
J
Credential
LPN
Mailing Street Address
432 Ashford Ave
Mailing City
Tonawanda
Mailing State
NY
Mailing ZIP Code
14150-7002
Mailing Country
US
Mailing Phone
(716) 984-9555
Practice Street Address
432 Ashford Ave # Vae
Practice City
Tonawanda
Practice State
NY
Practice ZIP Code
14150-7002
Practice Country
US
Practice Phone
(716) 837-1044
Enumeration Date
August 01, 2017
Last Updated
August 01, 2017
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)