Individual
PAMELA LYNN WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2133 WELSH DR, LAKE ST LOUIS, MO 63367-4875
(636) 262-5826
Mailing address
1252 WOODGROVE PARK DR, O FALLON, MO 63366-1584
(636) 262-5826
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
113048
MO
363LA2200X
Adult Health Nurse Practitioner
Primary
209012610
IL
363LA2200X
Adult Health Nurse Practitioner
9338452
FL
Other
Enumeration date
04/05/2012
Last updated
03/29/2016
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