MRS. CHRISTINE MARIE WALL RN
NPI 1003976481
Registered Nurse - Home Health in Port Jefferson Station, NY
About Mrs. Christine Marie Wall Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. CHRISTINE MARIE WALL RN (NPI 1003976481) is an individual home health provider in Port Jefferson Station, New York, licensed in New York (528246-1) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Christine Marie Wall Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003976481, enumerated as an "individual" on December 08, 2006.
The provider is located at 29 PAGNOTTA DR PORT JEFFERSON STATION, NY 11776 and the phone number is (631) 828-2905.
Registered Nurse with taxonomy code 163WH0200X and a focus in Home Health.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
