Individual
MRS. ANNE MARIE WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1211 COOLIDGE BLVD STE 303, LAFAYETTE, LA 70503-2636
(337) 232-6697
Mailing address
100 DUNCAN CIR, LAFAYETTE, LA 70503-4729
(318) 452-3978
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
218398
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
218398
LOUISIANA STATE BOARD OF NURSING
LA
Enumeration date
01/26/2021
Last updated
01/27/2021
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