National Provider Identifier

Aishia Symone Wall, NP

Aishia Symone Wall, NP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Fairport, NY and a listed phone number of (585) 383-2216.

NPI 1790331981Fairport, NYFamily Nurse Practitioner

Profile Overview

NPI
1790331981
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
August 13, 2019
Last Updated
August 16, 2024

Practice Location

  • 41 Oconnor RD
  • Fairport, NY 14450-1327

Phone: (585) 383-2216

Specialties

  • Family Nurse Practitioner (363LF0000X)
  • Registered Nurse (163W00000X)
Full Record
NPI
1790331981
Entity Type
Individual
Last Name
Wall
First Name
Aishia
Middle Name
Symone
Credential
NP
Mailing Street Address
41 Oconnor RD
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-1327
Mailing Country
US
Practice Street Address
41 Oconnor RD
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-1327
Practice Country
US
Practice Phone
(585) 383-2216
Enumeration Date
August 13, 2019
Last Updated
August 16, 2024
Sex
Female
Sole Proprietor
No
Certification Date
August 16, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X), Registered Nurse (163W00000X)