Walton, Audrey Aletha

Walton, Audrey Aletha is an individual health care provider with primary practice located at 102 Thomas Rd Suite 117, West Monroe LA 71291-7366. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Walton, Audrey Aletha can be contacted via phone (318) 322-9882.

Contact Information

Primary practice address
102 Thomas Rd Suite 117 West Monroe LA 71291-7366
Phone: (318) 322-9882
Fax: (318) 322-2006
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP04283 Louisiana

Profile Details

NPI number 1417918830
LBN Legal business name Walton, Audrey Aletha
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Feb 4th, 2014 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417918830 NPPES
Louisiana MEDICAID 1193054

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