Matthew Lucas Wall
Nurse Practitioner - Pediatrics
3401 Civic Center Blvd, Philadelphia
Pennsylvania, 19104-4319
215-590-1000
Matthew Lucas Wall is a Philadelphia, Pennsylvania based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Matthew Lucas Wall is SP025443 for Pediatrics in Pennsylvania. His current practice location is 3401 Civic Center Blvd, Philadelphia. Patients can reach him at 215-590-1000 with specialization in Pediatrics and his NPI number (Unique professional ID assigned by NPPES) is 1821746777.
Matthew Lucas Wall specializes in caring for newborns, infants, toddlers, adolescents and young adults. He perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Matthew Lucas Wall speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Matthew Lucas Wall |
| Specialization: | Pediatrics Nurse Practitioner (PNP) |
| Gender: | Male |
| Practice Address: | 3401 Civic Center Blvd, Philadelphia,
Pennsylvania, 19104-4319 |
| Phone: | 215-590-1000 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1821746777 |
| NPI Enumeration Date: | 10 Mar, 2022 |
| NPI Last Update On: | 10 Mar, 2022 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Matthew Lucas Wall are as mentioned below.
| License Number | Specialization | State | Status | |
| SP025443 | Pediatrics | Pennsylvania | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Matthew Lucas Wall
14 Martin Rd,
Coatesville, Pennsylvania |
| Zip: | 19320-4916 |
| Phone Number: | 301-672-2181 |
Patients can reach Matthew Lucas Wall at
3401 Civic Center Blvd, Philadelphia, Pennsylvania or can
call to book an appointment on 215-590-1000.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.