Doctor Name: | MRS. KESHA RENEE WALTON |
NPI Number: | 1164541124 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, RN, FNP-BC |
License Number: | 26NR11039900 |
Business Practice Address: | 2130 Hwy 35 Suite 324 Sea Girt, NJ - 08750 |
Business Phone Number: | 7329741980 |
Business Fax Number: | |
Mailing Address: | 231 10th Ave, MANCHESTER |
State: | NJ |
Postal Code: | 087595625 |
Phone Number: | 7326578905 |
Fax Number: | |
NPI Enumeration Date: | 03/28/2007 |
NPI Last Update Date: | 04/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WE0003X |
License Number: | 26NR11039900 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Emergency |
Taxonomy Definition: |