Individual provider · Type 1 NPI
Edwina Sue Walthall, APN
Obstetrics & Gynecology Nurse Practitioner · Little Rock, AR
NPI number
1801026620
Active
Practice location
4301 W Markham St
Little Rock, AR 72205-7101
Fax (501) 280-3142
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner Primary | 363LX0001X | A03147 (AR) |
Obstetrics & Gynecology Nurse Practitioner: Definition to come...
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About NPI 1801026620
Edwina Sue Walthall, APN's National Provider Identifier is 1801026620, issued on Jul 15, 2009. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Little Rock, AR. The record was last updated on Mar 10, 2020.