Walthall, Edwina Sue

Walthall, Edwina Sue is an individual health care provider with primary practice located at 4301 W Markham St , Little Rock AR 72205-7101. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Walthall, Edwina Sue can be contacted via phone (501) 251-5276.

Contact Information

Primary practice address
4301 W Markham St Little Rock AR 72205-7101
Fax: (501) 280-3142
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X A03147 Arkansas

Profile Details

NPI number 1801026620
LBN Legal business name Walthall, Edwina Sue
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2009
Last updated Mar 10th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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