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Individual
JUDY A WALTON
Active
Individual
JUDY A WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP138595
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27411
TBON RX AUTHORIZATION #
TX
01
—
803630
TXBON RN LICENSE NUMBER
TX
01
—
API138595
APRN LICENSE NUMBER
TX
05
—
API138595
—
TX
Enumeration date
11/28/2018
Last updated
11/28/2018
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