| Aishia Symone Wall, NP | |
|
41 Oconnor Rd, Fairport, NY 14450-1327 | |
| (585) 383-2216 | |
| Not Available |
| Full Name | Aishia Symone Wall |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 41 Oconnor Rd, Fairport, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790331981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 352346 (New York) | Primary |
| 163W00000X | Registered Nurse | 747632 (New York) | Secondary |
| Entity Name | The Frederick Ferris Thompson Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194776351 PECOS PAC ID: 3274428586 Enrollment ID: O20040217000109 |
| Mailing Address | Practice Location Address |
|---|---|
| Aishia Symone Wall, NP 41 Oconnor Rd, Fairport, NY 14450-1327 Ph: () - | Aishia Symone Wall, NP 41 Oconnor Rd, Fairport, NY 14450-1327 Ph: (585) 383-2216 |
Holly Joy Terzo, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 460 Cross Keys Office Park, Fairport Pediatrics, Fairport, NY 14450 Phone: 585-223-6111 Fax: 585-223-0878 | |
Dr. Elizabeth Anne Kiss, DNP, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 79 County Clare Cres, Fairport, NY 14450 Phone: 585-943-4908 | |
Ms. Pamela Helen King, PMHNP, CNS BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1387 Fairport Rd, Building 600 Suite 660, Fairport, NY 14450 Phone: 585-388-8020 Fax: 585-388-8023 | |
Jennifer L Driessen, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Saint Camillus Way, Fairport, NY 14450 Phone: 585-377-4000 | |
Stephanie Ann Emerson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 460 Cross Keys Office Park, Fairport Pediatrics, Fairport, NY 14450 Phone: 585-223-6111 Fax: 585-223-0878 | |
Cassidy Marie Kaczor, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14 Captiva Xing, Fairport, NY 14450 Phone: 585-330-1940 | |
Bonnie R Crawford, GNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4646 Nine Mile Point Rd, Fairport, NY 14450 Phone: 585-377-0350 |