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

Renee V Wall, PA-C

Individual provider Physician Assistant · NPI 1629139670

Renee V Wall, PA-C is a Physician Assistant in Wilmington, North Carolina. Licensed in California, North Carolina and Washington. Registered with an NPI since 2006.

Licensed in
CA, NC, WA
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

3787 Shipyard Blvd
Wilmington, NC 28403-6148
Phone: (910) 332-3800
Fax: (910) 251-0421
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-04392 (NC)
Physician Assistant Taxonomy 363A00000X · Licence PA18633 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA60150098 (WA)

Record details

NPI number1629139670
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 13, 2006
Last updated in NPPESSeptember 30, 2013

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