Mikayla Wall

Physician Assistant · Salem, VA

Individual Active NPI

NPI number 1265002836

Practice location

1802 Braeburn Dr
Salem, VA 24153-7357
Phone
(540) 772-3702

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NPI record

NPI
1265002836
Entity type
Individual (Type 1)
Enumeration date
June 28, 2021
Last updated
October 8, 2021
Certified
October 8, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 0110008117 VA

Mailing address

434 Sunburst Rd
Lynchburg, VA 24501-7249
Phone
(434) 944-2860

Other practice locations (1)

  • 434 Sunburst Rd, Lynchburg, VA 24501-7249 · (434) 944-2860

About Mikayla Wall

Mikayla Wall is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1802 Braeburn Dr, Salem, VA 24153-7357. The NPI number 1265002836 was assigned on June 28, 2021 and the record was last updated on October 8, 2021.

Mikayla Wall lists a license in the registry: #0110008117 (VA) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mikayla Wall?

The NPI number is 1265002836.

What is the phone number of Mikayla Wall?

The phone number listed for the practice location is (540) 772-3702.

Where is Mikayla Wall located?

1802 Braeburn Dr, Salem, VA 24153-7357.

What is the taxonomy code for Mikayla Wall?

The primary taxonomy code is 363A00000X – Physician Assistant.

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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