Individual
BRANDI WALSTON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
APRNCS
Contact information
Practice address
136 MILL ST, PRINCETON, ME 04668-3344
(207) 796-5503
(207) 796-5528
Mailing address
136 MILL ST, PRINCETON, ME 04668-3344
(207) 796-5503
(207) 796-5528
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
R041584
ME
Other
Enumeration date
12/14/2005
Last updated
07/08/2007
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