ALYSSA WALL - NPI 1255146486 - Licensed Practical Nurse in Shawnee, OK

Q: What is Alyssa Wall's NPI number?

The NPI number for Alyssa Wall is 1255146486. It was assigned to this individual provider in the NPPES registry on February 13, 2025.

Q: What is Alyssa Wall's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Alyssa Wall was last updated on February 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Alyssa Wall NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALYSSA WALL (NPI 1255146486) is an individual licensed practical nurse in Shawnee, Oklahoma, licensed in Oklahoma (209671) and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1255146486

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameALYSSA WALL

Location Address781 GRAND CASINO BLVDShawnee, OK 74804-1005

Mailing Address781 Grand Casino BlvdShawnee, OK 74804-1005 · (405) 964-5770

Phone(405) 964-5770

Sole ProprietorNo

Enumeration DateFebruary 13, 2025

NPPES CertifiedFebruary 13, 2025

✔ NPI 1255146486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in OK · 209671

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

781 GRAND CASINO BLVD, Shawnee, OK 74804

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS MARY E ZIENTEK RN

Registered Nurse (Ambulatory Care)

781 GRAND CASINO BLVD, CITIZEN POTAWATOMI NATION HEALTH SERVICES
SHAWNEE, OK 74804

Pottawatomie County (405) 964-5770

JORDAN BENSON

Physical Therapist