MS. PAMELA SUE WALLS APRN BC NPI 1962573394

NPI Information

NPI: 1962573394
Provider Name: MS. PAMELA SUE WALLS, APRN, BC
Classification: Clinical Nurse Specialist - 364SP0809X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Adult

PECOS Registration: Yes

Address:
600 22ND AVE NW
SUITE U2
MINOT, ND
ZIP 58703
Phone: (701) 721-5143
Get Directions

MS. Pamela Sue Walls, APRN, BC is a psychiatric/mental health and adult clinical nurse specialist in Minot, ND with 18 years of experience. MS. Pamela Sue Walls, APRN, BC NPI is 1962573394. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

600 22ND AVE NW
SUITE U2
MINOT, ND
ZIP 58703
Phone: (701) 721-5143
Fax: (701) 839-9071

The NPI 1962573394 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 3/24/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SP0809X	Clinical Nurse Specialist	Psychiatric/Mental Health, Adult	R-163958-0	MINNESOTA	No
2	364SP0809X	Clinical Nurse Specialist	Psychiatric/Mental Health, Adult	R-29214	NORTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1455317	MEDICAID	NORTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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