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

MS. Kristina Lawrence Wall, MEDICAIDWAIVERPROV

Individual provider Specialist · NPI 1790822682

MS. Kristina Lawrence Wall, MEDICAIDWAIVERPROV is a Specialist in Deltona, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2007
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Practice location Address checks out

151 Hummingbird St Apt B
Deltona, FL 32725-8059
Phone: (386) 216-3317
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 689432196 (FL)

Record details

NPI number1790822682
Entity typeIndividual (Type 1)
GenderFemale
Credentials MEDICAIDWAIVERPROV
Sole proprietorYes
NPI enumeratedJanuary 31, 2007
Last updated in NPPESJuly 8, 2007

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