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Individual
ALICIA S WALSH
Active
Individual
ALICIA S WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN CPNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
002631
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026310
CONNECTICARE
—
01
—
230002361CT01
HUSKY B
—
01
—
2V6241
HEALTHNET
—
01
—
400002631CT01
ANTHEM BLUE CROSS
—
01
—
P3599013
OXFORD UNITED HEALTHCARE
—
Enumeration date
09/29/2006
Last updated
07/08/2007
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