MRS. Donna Van Bladel Wall, NP

NPI #1184603045 in Hiram, Georgia

Provider Information

NPI Number
1184603045
Entity Type
Individual
Name
MRS. Donna Van Bladel Wall, NP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
NP
Enumeration Date
Jan 10, 2006
Last Updated
Oct 20, 2025

Practice Location

Address
144 BILL CARRUTH PKWY STE 3100
City
Hiram
State
Georgia
ZIP Code
30141-3819
Phone
(678) 363-1940

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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