Alyssa Wall

Licensed Practical Nurse · Shawnee, OK

Individual Active NPI

NPI number 1255146486

Practice location

781 Grand Casino Blvd
Shawnee, OK 74804-1005
Phone
(405) 964-5770

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NPI record

NPI
1255146486
Entity type
Individual (Type 1)
Enumeration date
February 13, 2025
Last updated
February 13, 2025
Certified
February 13, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Licensed Practical Nurse Primary 164W00000X 209671 OK

About Alyssa Wall

Alyssa Wall is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 781 Grand Casino Blvd, Shawnee, OK 74804-1005. The NPI number 1255146486 was assigned on February 13, 2025 and the record was last updated on February 13, 2025.

Alyssa Wall lists a license in the registry: #209671 (OK) for Licensed Practical Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Alyssa Wall?

The NPI number is 1255146486.

What is the phone number of Alyssa Wall?

The phone number listed for the practice location is (405) 964-5770.

Where is Alyssa Wall located?

781 Grand Casino Blvd, Shawnee, OK 74804-1005.

What is the taxonomy code for Alyssa Wall?

The primary taxonomy code is 164W00000X – Licensed Practical Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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