Individual
SAMANTHA RACHEL WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
261 N ROOSEVELT AVE, CHANDLER, AZ 85226-2616
(480) 305-2888
Mailing address
17175 N 53RD AVE, GLENDALE, AZ 85308-3929
(602) 245-3987
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
255002
AZ
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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