Individual
NICOLE M WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
10995 QUIVIRA RD, OVERLAND PARK, KS 66210-1207
(913) 339-9437
(913) 339-9538
Mailing address
10995 QUIVIRA RD, OVERLAND PARK, KS 66210-1207
(913) 339-9437
(913) 339-9538
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
76990
KS
363LF0000X
Family Nurse Practitioner
2014004039
MO
363LF0000X
Family Nurse Practitioner
76990
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871992057
—
MO
Enumeration date
08/14/2014
Last updated
05/24/2022
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