ERICA MARIE WALL NURSE PRACTITIONER IN PSYCHIATRY PLLC
NPI 1548016256
Nurse Practitioner - Psychiatric/Mental Health in Rensselaer, NY

Active since April 24, 2024
321 BROADWAY, RENSSELAER, NY 12144(518) 453-2280(518) 453-2282 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Erica Marie Wall Nurse Practitioner In Psychiatry Pllc NPPES

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

ERICA MARIE WALL NURSE PRACTITIONER IN PSYCHIATRY PLLC (NPI 1548016256) is a healthcare organization registered as a psychiatric/mental health in Rensselaer, New York and active in the NPI registry since April 2024. The organization lists Erica Marie Wall, Owner, as its authorized official.

NPPES Registry Identity

NPI1548016256
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameERICA MARIE WALL NURSE PRACTITIONER IN PSYCHIATRY PLLC
Location Address321 BROADWAYRensselaer, NY 12144-2602
Mailing Address321 BroadwayRensselaer, NY 12144-2602 · (518) 453-2280
Fax(518) 453-2282
Organization SubpartNo
Authorized OfficialErica Marie WallOwner · (518) 364-5854
Enumeration DateApril 24, 2024
Last NPPES UpdateApril 25, 2024
NPPES CertifiedApril 25, 2024
NPI 1548016256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
321 BROADWAY, Rensselaer, NY 12144

Other Identifiers 2

Other1083152136Individual Npi Number
Medicaid07741220NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Psychiatric/Mental Health)
321 BROADWAY
RENSSELAER, NY 12144
Nurse Practitioner (Psychiatric/Mental Health)
321 BROADWAY
RENSSELAER, NY 12144

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 Erica Marie Wall Nurse Practitioner In Psychiatry PLLC's NPI number?

The NPI number for Erica Marie Wall Nurse Practitioner In Psychiatry PLLC is 1548016256. It was assigned to this organization in the NPPES registry on April 24, 2024.

Where is Erica Marie Wall Nurse Practitioner In Psychiatry PLLC located?

Erica Marie Wall Nurse Practitioner In Psychiatry PLLC is located at 321 Broadway, Rensselaer, NY 12144. The listed phone number is (518) 453-2280.

What is Erica Marie Wall Nurse Practitioner In Psychiatry PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Erica Marie Wall Nurse Practitioner In Psychiatry PLLC was last updated on April 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.