Individual
NANCY JANE WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
18 MOLLISON WAY, LEWISTON, ME 04240-5811
(207) 312-6860
Mailing address
193 NORTH ST, MECHANIC FALLS, ME 04256-6310
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN4968
ME
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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