Doctor Name: | BRENDA WALTON |
NPI Number: | 1104035799 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.P.N. |
License Number: | PN. 066863 |
Business Practice Address: | 381 Royal Oak Blvd Richmond Heights, OH - 441431709 |
Business Phone Number: | 2164866193 |
Business Fax Number: | |
Mailing Address: | 17705 Winslow Rd, SHAKER HEIGHTS |
State: | OH |
Postal Code: | 441224857 |
Phone Number: | 2167520054 |
Fax Number: | 2167520054 |
NPI Enumeration Date: | 05/21/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | PN. 066863 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Licensed Practical Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |