Individual provider · Type 1 NPI
Timothy P. Walton, MSN, RN, CPNP
Pediatric Nurse Practitioner · St. Louis, MO
NPI number
1669423976
Active
Practice location
5471 Dr Martin Luther King Dr
St. Louis, MO 63112-4265
Fax (314) 623-6326
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | RN133867 (MO) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 133867 (MO) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1669423976
Timothy P. Walton, MSN, RN, CPNP's National Provider Identifier is 1669423976, issued on May 12, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in St. Louis, MO. The record was last updated on Jun 30, 2023.