Individual
MS. KATIE MARIE WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
10420 OLD OLIVE STREET RD, STE 205, SAINT LOUIS, MO 63141-5937
(314) 692-8516
Mailing address
500 N 13TH ST APT 4H, SAINT LOUIS, MO 63103-1958
(618) 305-0438
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
2017037579
MO
363L00000X
Nurse Practitioner
Primary
2020033934
MO
Other
Enumeration date
05/12/2020
Last updated
08/08/2023
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