Individual
CHARLA EDITH WALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-0028
(615) 936-2000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
132929
TN
363LA2100X
Acute Care Nurse Practitioner
Primary
20574
TN
363LG0600X
Gerontology Nurse Practitioner
APN20574
TN
Other
Enumeration date
10/26/2015
Last updated
03/15/2022
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