Individual
NICHOLLE WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2640 W BASELINE RD STE 111, PHOENIX, AZ 85041-6492
(480) 677-8282
(844) 470-2777
Mailing address
261 N ROOSEVELT AVE, CHANDLER, AZ 85226-2617
(480) 677-8282
(844) 470-2777
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
283098
AZ
Other
Enumeration date
11/09/2022
Last updated
11/08/2024
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