Individual
DAWN M WALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN AHCNS, APRN-BC
Contact information
Practice address
371 S BROADVIEW ST, CAPE GIRARDEAU, MO 63703-5761
(573) 331-6710
(573) 986-5999
Mailing address
371 S BROADVIEW ST, CAPE GIRARDEAU, MO 63703-5761
(573) 331-6710
(573) 986-5999
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
090149
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090149
MO LICENSE NUMBER
MO
01
—
20040028-05
MO CERTIFICATION NUMBER
MO
Enumeration date
10/25/2006
Last updated
02/02/2023
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