Individual
EDWINA SUE WALTHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
4301 W MARKHAM ST, LITTLE ROCK, AR 72205-7101
(501) 251-5276
(501) 280-3142
Mailing address
4301 W MARKHAM ST, LITTLE ROCK, AR 72205-7101
(501) 251-5276
(501) 280-3142
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
A03147
AR
Other
Enumeration date
07/15/2009
Last updated
03/10/2020
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