JOAN THERESA WALTON


Address: 34 Wilton Ave, Pawtucket, RI 02861-2916
Phone: 4014879767

JOAN THERESA WALTON (NPI# 1467712661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467712661
Entity Type Individual
Full Name JOAN THERESA WALTON
Credential ARNP
Practice Address 34 Wilton Ave
Pawtucket
RI 02861-2916
Practice Telephone 4014879767
Mailing Telephone 4014879767
Enumeration Date 2012-05-22
Last Update Date 2012-05-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
NPP37612 RI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 34 WILTON AVE
City PAWTUCKET
State RI
Zip Code 02861-2916

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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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1881902096 Diane Marie Costa Nurse Practitioner 42 Basswood Dr, Bristol, RI 02809-4912 2010-09-22
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1649838400 Colin Brian Burns Nurse Practitioner 25 Wells St, Westerly, RI 02891-2922 2019-06-05
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Competitor

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City PAWTUCKET
Zip Code 02861

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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