| Doctor Name: | AMY CAROL WALL |
| NPI Number: | 1023324282 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 71003341A |
| Business Practice Address: | 25 W Division St Evansville, IN - 477101374 |
| Business Phone Number: | 8124364501 |
| Business Fax Number: | 8124364510 |
| Mailing Address: | 315 Mulberry St, EVANSVILLE |
| State: | IN |
| Postal Code: | 477131252 |
| Phone Number: | 8124217489 |
| Fax Number: | 8124217497 |
| NPI Enumeration Date: | 08/26/2010 |
| NPI Last Update Date: | 02/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 71003341A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |