Individual
VICKIE RENEA WALTERS-NUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIFESTYLE COACH
Contact information
Practice address
10150 HIGHLAND MANOR DR, TAMPA, FL 33610-9713
(813) 361-2138
Mailing address
PO BOX 89655, TAMPA, FL 33689-0410
(813) 361-2138
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
999
NA
FL
01
—
999
NONE
—
05
—
999
—
FL
Enumeration date
10/18/2017
Last updated
07/21/2022
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