Ms. Linda Kay Wall
Nurse Practitioner - Women's Health
318 W Washington St 3rd Floor
Bloomington
, Illinois 61701-3875
Ms. Linda Kay Wall
Nurse Practitioner - Women's Health
318 W Washington St 3rd Floor
Bloomington
, Illinois 61701-3875
(309) 451-1628
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About
Features
Specialties
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Ms. Linda Kay Wall
- 1196 Lynx Ln
- Normal, IL
- Zip : 61761-9389
- Phone : (309) 451-1628
Second Address
- Ms. Linda Kay Wall
- 318 W Washington St 3rd Floor
- Bloomington, IL
- Zip : 61701-3875
- Fax : (309) 828-6626
- Phone : (309) 827-4014
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LW0102X | Nurse Practitioner - Women's Health | 209-000339 | IL |
National Provider Identifier
| NPI | 1023072527 |
|---|---|
| Provider Name | Ms. Linda Kay Wall |
| First Address | Normal, IL 61761-9389 |
| Second Address | Bloomington, IL 61701-3875 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/04/2006 |
| Last Update Date | 21/12/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.