| Miss Nichoelle Renee Wall, PA | |
|
5304 N Road 68, Pasco, WA 99301-8078 | |
| (509) 543-9300 | |
| (509) 542-3059 |
| Full Name | Miss Nichoelle Renee Wall |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 5304 N Road 68, Pasco, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407009418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA156832 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Nichoelle Renee Wall, PA 589 Nw 11th St, Hermiston, OR 97838-6600 Ph: (541) 567-1717 | Miss Nichoelle Renee Wall, PA 5304 N Road 68, Pasco, WA 99301-8078 Ph: (509) 543-9300 |
Jesse Manuel Clossey, Physician Assistant Medicare: Medicare Enrolled Practice Location: 520 N 4th Ave, Pasco, WA 99301 Phone: 509-946-2207 | |
Ashley Amey, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1608 Road 44, Pasco, WA 99301 Phone: 509-543-9280 Fax: 509-545-6275 | |
Eyob G Kidane, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7425 Wrigley Dr, Ste 100, Pasco, WA 99301 Phone: 509-416-8888 Fax: 509-545-6842 | |
Javier A Huerta, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 515 W Court St, Pasco, WA 99301 Phone: 509-547-2204 Fax: 509-542-8836 | |
Zandra Magali Melchor, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1608 Road 44, Pasco, WA 99301 Phone: 509-543-9280 | |
William Henry Hanson, PA-C, DPM Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5304 N Road 68, Pasco, WA 99301 Phone: 509-543-9300 | |
Ms. Jennelle Ashley Thompson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1608 N Road 44, Pasco, WA 99301 Phone: 509-543-9280 Fax: 509-545-6275 |