Mrs Gloria Agnes Wall, RN is a
Registered Nurse - Community Health based in Prairie Du Chien, Wisconsin. Mrs Gloria Agnes Wall is licensed to practice in Wisconsin (license number 50568-30) and her current practice location is
225 N Beaumont Rd, Suite 306, Prairie Du Chien, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(608) 326-0230.
NPI number for Mrs Gloria Agnes Wall is 1386846657 and her current mailing address is 225 N Beaumont Rd, Suite 306, Prairie Du Chien, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386846657.
Provider's Profile
| Full Name | Mrs Gloria Agnes Wall |
|---|
| Gender | Female |
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| Speciality | Registered Nurse - Community Health |
|---|
| Location | 225 N Beaumont Rd, Prairie Du Chien, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1386846657
- Provider Enumeration Date: 05/31/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Gloria Agnes Wall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386846657 | NPI | - | NPPES |
| 44005700 | Medicaid | WI | |
| 41861300 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WC1500X | Registered Nurse - Community Health | 50568-30 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Gloria Agnes Wall is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Gloria Agnes Wall, RN
225 N Beaumont Rd, Suite 306,
Prairie Du Chien, WI 53821-1445
Ph: (608) 326-0230 | Mrs Gloria Agnes Wall, RN
225 N Beaumont Rd, Suite 306,
Prairie Du Chien, WI 53821-1445
Ph: (608) 326-0230 |
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