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Individual

RICHARD LEE WALDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNP

Contact information

Practice address
7125 UNIVERSITY CT, MONTGOMERY, AL 36117-8016
(334) 239-2622
(334) 625-7602
Mailing address
7125 UNIVERSITY CT, MONTGOMERY, AL 36117-8016
(334) 239-2622
(334) 625-7602

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
R895162
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3-001136
AL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
905672
MS

Other

Enumeration date
09/17/2016
Last updated
11/21/2023
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