Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miss. Nichoelle Renee Wall, PA

Individual provider Physician Assistant · NPI 1407009418

Miss. Nichoelle Renee Wall, PA is a Physician Assistant in Pasco, Washington. Licensed in Oregon. Registered with an NPI since 2008.

Licensed in
OR
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

5304 N Road 68
Pasco, WA 99301-8078
Phone: (509) 543-9300
Fax: (509) 542-3059
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA156832 (OR)

Record details

NPI number1407009418
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 4, 2008
Last updated in NPPESApril 15, 2019

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