Individual provider · Type 1 NPI
Nakiesha Walton
Driver · Dekalb, IL
NPI number
1265033179
Active
Practice location
807 Ridge Dr # 520
Dekalb, IL 60115-1385
Mailing address
835 Edgebrook Dr Apt 115
Dekalb, IL 60115-1446
Other practice locations
- 835 Edgebrook Dr Apt 115, Dekalb, IL 60115-1446 · (815) 508-7131
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | W4356-3797-698 (IL) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
About NPI 1265033179
Nakiesha Walton's National Provider Identifier is 1265033179, issued on Nov 6, 2020. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Dekalb, IL. The record was last updated on Nov 6, 2020.