Donna Van Bladel Wall in Hiram - Nurse Practitioner
Donna Van Bladel Wall - NPI 1184603045
Donna Van Bladel Wall is a Nurse Practitioner in Hiram, Georgia. Donna Van Bladel Wall practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Donna Van Bladel Wall is 1184603045. The last update date is 2019-04-17.
Donna Van Bladel Wall's current location address is 144 Bill Carruth Pkwy Ste 3100, Hiram, Georgia. You can contact this provider via phone number 6783631940 and fax number 6785817110. The mailing address for Donna Van Bladel Wall is 144 Bill Carruth Pkwy Ste 3100, Hiram, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Donna Van Bladel Wall |
|---|---|
| Address | 144 Bill Carruth Pkwy Ste 3100, Hiram, Georgia |
| Phone Number | 6783631940 |
| Fax Number | 6785817110 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1184603045 |
|---|---|
| Provider Enumeration Date | 2006-01-10 |
| Last Updated Date | 2019-04-17 |
Provider Mailing Address Detail
| Address | 144 Bill Carruth Pkwy Ste 3100 |
|---|---|
| City | Hiram |
| State | Georgia (GA) |
| Post Code | 301413819 |
| Phone Number | 6783631940 |
| Fax Number | 6785817110 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | RN134321 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1184603045 | GA | NPI NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Donna Van Bladel Wall by the Centers for Medicare & Medicaid Services?
The Donna Van Bladel Wall has been assigned the NPI (National Provider Identifier) 1184603045. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Donna Van Bladel Wall?
The Donna Van Bladel Wall is physically situated at 144 Bill Carruth Pkwy Ste 3100, in the city of Hiram, state of GA, with the postal code 301413819.
What is Donna Van Bladel Wall's area of expertise and its corresponding taxonomy classification?
The Donna Van Bladel Wall's field of specialization is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Donna Van Bladel Wall receive the assignment of its 1184603045 from the Centers for Medicare & Medicaid Services?
The Donna Van Bladel Wall was issued its 1184603045 by the Centers for Medicare & Medicaid Services on 2006-01-10.
As of what date was the information pertaining to Donna Van Bladel Wall, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Donna Van Bladel Wall, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-04-17.