STACEY B WALL N.P.
NPI 1427299197
Nurse Practitioner - Adult Health in Syracuse, NY

Active since March 10, 2009
945 E GENESEE ST, SUITE 200, SYRACUSE, NY 13210(315) 475-8401(315) 475-0824 Get Directions Write a Review

NPPES record last updated: January 11, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacey B Wall N.p. NPPES

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

STACEY B WALL N.P. (NPI 1427299197) is an individual adult health provider in Syracuse, New York, licensed in New York (F300896) and active in the NPI registry since March 2009.

NPPES Registry Identity

NPI1427299197
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSTACEY B WALLCredential: N.P.
Location Address945 E GENESEE ST, SUITE 200Syracuse, NY 13210-1752
Mailing Address945 E Genesee St, Suite 200Syracuse, NY 13210-1752 · (315) 475-8401 · Fax (315) 475-0824
Fax(315) 475-0824
Sole ProprietorNo
Enumeration DateMarch 10, 2009
Last NPPES UpdateJanuary 11, 2012
NPI 1427299197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NY · F300896
945 E GENESEE ST, Syracuse, NY 13210

Other Providers at the Same Location NPPES 9

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

Internal Medicine (Pulmonary Disease)
945 E GENESEE ST, SUITE 200
SYRACUSE, NY 13210
Nurse Practitioner (Adult Health)
945 E GENESEE ST, PULMONARY HEALTH PHYSICIANS
SYRACUSE, NY 13210
Internal Medicine (Pulmonary Disease)
945 E GENESEE ST, SUITE 200
SYRACUSE, NY 13210
Internal Medicine (Pulmonary Disease)
945 E GENESEE ST, SUITE 200
SYRACUSE, NY 13210
Internal Medicine (Pulmonary Disease)
945 E GENESEE ST, SUITE 200
SYRACUSE, NY 13210
Nurse Practitioner (Family)
945 E GENESEE ST, SUITE 200
SYRACUSE, NY 13210
Internal Medicine (Pulmonary Disease)
945 E GENESEE ST, SUITE 200
SYRACUSE, NY 13210
Internal Medicine (Pulmonary Disease)
945 E GENESEE ST, SUITE 200
SYRACUSE, NY 13210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Wall's NPI number?

The NPI number for Stacey Wall is 1427299197. It was assigned to this individual provider in the NPPES registry on March 10, 2009.

Where is Stacey Wall located?

Stacey Wall practices at 945 E Genesee St Suite 200, Syracuse, NY 13210. The listed phone number is (315) 475-8401.

What is Stacey Wall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Stacey Wall was last updated on January 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.