| Doctor Name: | MRS. ANNA NORA WALLS |
| NPI Number: | 1104013036 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | ARNP 2852042 |
| Business Practice Address: | 4880 N Highway 19a Suite 200 Mount Dora, FL - 327572018 |
| Business Phone Number: | 3525898111 |
| Business Fax Number: | |
| Mailing Address: | 1755 Gulf Winds Ct, APOPKA |
| State: | FL |
| Postal Code: | 327128155 |
| Phone Number: | 4078841699 |
| Fax Number: | |
| NPI Enumeration Date: | 09/25/2007 |
| NPI Last Update Date: | 09/25/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | ARNP 2852042 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |