Individual
MICHELLE WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
3330 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112-4418
(405) 949-3254
Mailing address
3330 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112-4418
(405) 949-3254
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
0116617
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L-142974
IBCLE
—
Enumeration date
07/31/2018
Last updated
07/31/2018
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