Individual
MICHELLE WALSH
Active
Individual
MICHELLE WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD CPNP
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN209187
OH
363LP0200X
Pediatric Nurse Practitioner
Primary
COA01020NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MP2021949
—
OH
Enumeration date
08/03/2006
Last updated
06/25/2012
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