Itamar Wall, APRN
Nurse Practitioner, Family in Loxahatchee, FL. Individual provider (NPI-1).
NPI number1982243630
StatusActive
Last updated in NPPESJul 21, 2026
Details
- NPI
- 1982243630
- Entity type
- Individual (NPI-1)
- Name
- Mr. Itamar Wall
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 29, 2019
- Certification date
- Jul 21, 2026
- Last updated
- Jul 21, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APRN11005498 | FL | Yes |
Practice location
13005 Southern Blvd Ste 221Loxahatchee, FL 33470-9272
Phone 561-517-8678 · Fax 561-529-5087
Mailing address
13005 Southern Blvd Ste 221Loxahatchee, FL 33470-9272
Phone 561-517-8678
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