Individual
NANCY JOY WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CS, ANP
Contact information
Practice address
1318 PALUXY RD, GRANBURY, TX 76048-5655
(817) 573-8805
(817) 279-9515
Mailing address
1318 PALUXY RD, GRANBURY, TX 76048-5655
(817) 573-8805
(817) 279-9515
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
225534
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088264902
—
TX
01
—
500009255
RAILROAD MEDICARE
TX
01
—
NP7043
BCBS
TX
Enumeration date
09/26/2005
Last updated
08/18/2011
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