Individual
ANISSA WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
711 W SHIAWASSEE ST, LANSING, MI 48915-2806
(517) 574-3538
Mailing address
711 W SHIAWASSEE ST, LANSING, MI 48915-2806
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704387078
MI
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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