Doctor Name: | JAMES JOSEPH WALSH |
NPI Number: | 1659657641 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PNP |
License Number: | 1010081827 |
Business Practice Address: | 1 Hospital Ct Bellows Falls, VT - 051011489 |
Business Phone Number: | 8024631346 |
Business Fax Number: | 8024631290 |
Mailing Address: | 1 Hospital Ct, BELLOWS FALLS |
State: | VT |
Postal Code: | 051011489 |
Phone Number: | 8024631346 |
Fax Number: | 8024631290 |
NPI Enumeration Date: | 10/23/2011 |
NPI Last Update Date: | 11/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 1010081827 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |