Individual
MRS. DEBRA V WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN BC
Contact information
Practice address
449 FOREST AVE, 2ND FLOOR, PORTLAND, ME 04101
(207) 761-1741
Mailing address
449 FOREST AVE, 2ND FLOOR, PORTLAND, ME 04101
(207) 761-1741
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
036038
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23580000
—
ME
01
—
672043259
ATHENS
ME
Enumeration date
10/23/2006
Last updated
07/08/2007
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