| Doctor Name: | MRS. CONNIE S. WALDEN |
| NPI Number: | 1255664934 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. B.S.N. C.L.C. |
| License Number: | 13-66690-111 |
| Business Practice Address: | 1125 Utah Ave. Hoxie, KS - 677400955 |
| Business Phone Number: | 7856752121 |
| Business Fax Number: | 7856752193 |
| Mailing Address: | 1125 Utah Ave., HOXIE |
| State: | KS |
| Postal Code: | 677400955 |
| Phone Number: | 7856752121 |
| Fax Number: | 7856752193 |
| NPI Enumeration Date: | 09/11/2009 |
| NPI Last Update Date: | 09/11/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0400X |
| License Number: | 13-66690-111 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Case Management |
| Taxonomy Definition: | |