Individual
AMBER LEE WALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 PATEWOOD DR STE A350, GREENVILLE, SC 29615-3547
(864) 454-5110
(864) 241-9206
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(645) 225-6038
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
18429
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP2558
—
SC
Enumeration date
08/15/2013
Last updated
05/14/2021
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