NPI 1023072527

Linda Kay Wall, APN

Practitioner Women's Health Nurse Practitioner Bloomington, IL

Practice location

Address: 318 W Washington St 3rd Floor, Bloomington, IL 61701-3875
Phone: (309) 827-4014
Fax: (309) 828-6626
Mailing address: 1196 Lynx Ln, Normal, IL 61761-9389

Registered specialties

Women's Health Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LW0102X Licence 209-000339 (IL)

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Registry record

NPI: 1023072527
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Apr 2006
Record last updated: 21 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.