Individual
COLLEEN WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
51 ELLERY AVE, MIDDLETOWN, RI 02842-6009
(917) 588-0036
Mailing address
51 ELLERY AVE, MIDDLETOWN, RI 02842-6009
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN57006
NY
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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