Angela Marie Wall, in Pomona, CA - Licensed Practical Nurse

Angela Marie Wall, is a Licensed Practical Nurse based in Pomona, California. Angela Marie Wall is licensed to practice in California (license number 287961) and her current practice location is 845 E Arrow Hwy, Pomona, California. She can be reached at her office (for appointments etc.) via phone at (909) 964-1585.

NPI number for Angela Marie Wall is 1316525041 and her current mailing address is 845 E Arrow Hwy, Pomona, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316525041.

Contact Information

	Angela Marie Wall,
	845 E Arrow Hwy, Pomona, CA 91767-2535
	(909) 964-1585
	Not Available

Provider's Profile

Full Name	Angela Marie Wall
Gender	Female
Speciality	Licensed Practical Nurse
Location	845 E Arrow Hwy, Pomona, California
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1316525041
Provider Enumeration Date: 04/01/2021
Last Update Date: 04/01/2021

Medical Identifiers

Medical identifiers for Angela Marie Wall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316525041	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
164W00000X	Licensed Practical Nurse	287961 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Angela Marie Wall is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Angela Marie Wall, 845 E Arrow Hwy, Pomona, CA 91767-2535 Ph: (909) 964-1585	Angela Marie Wall, 845 E Arrow Hwy, Pomona, CA 91767-2535 Ph: (909) 964-1585

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Angela Marie Wall, - Licensed Practical Nurse in Pomona, CA