# CONNIE LEANN WALTON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1366211591
- **Gender:** F
- **Credential:** RN, LMT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC0200X | Critical Care Medicine Registered Nurse | R0114751 | OK | — |
| 163WE0003X | Emergency Registered Nurse | R0114751 | OK | — |
| 163WM1400X | Nurse Massage Therapist (NMT) | R0114751 | OK | Yes |
| 225700000X | Massage Therapist | 197627 | — | — |

## Other

- **Enumeration date:** 12/28/2023
- **Last updated:** 12/28/2023