Most Relevant Information
Provider Data
| NPI Number: | 1003496266 |
| Provider Name: | ANNA GLYN WALL |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 1-161944 |
Most Important Dates
| Enumeration Date: | 04/12/2021 |
| Last Updated: | 08/15/2022 |
Provider Practice Location
2452 RIDGEMONT DR
BIRMINGHAM
AL
352441251
Practice Location Phone/Fax
| Phone: | 2054328196 |
| Fax: |
Provider Mailing Location
2452 RIDGEMONT DR
BIRMINGHAM
AL
352441251
Provider Mailing Phone/Fax
| Phone: | 2054328196 |
| Fax: |