Individual
MRS. KESHA RENEE WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APN, FNP-BC
Contact information
Practice address
2500 BRUNSWICK AVE STE 205, LAWRENCE, NJ 08648-4134
(732) 290-5480
(732) 716-3200
Mailing address
2500 BRUNSWICK AVE STE 205, LAWRENCE, NJ 08648-4134
(732) 290-5480
(732) 716-3200
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
26NR11039900
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ00470600
NJ
Other
Enumeration date
03/28/2007
Last updated
01/20/2022
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