person
Mrs. Renae Michelle Walton, FNP
Primary Care Nurse Practitioner in Matthews, North Carolina
NPI 1639378706

Renae Michelle Walton is a Primary Care Nurse Practitioner based in Matthews, NC and is specialized in Primary Care. Renae Michelle Walton practices in Matthews, NC and has the professional credentials of FNP. The NPI Number for Renae Michelle Walton is 1639378706 and holds a License No. 5004002 (North Carolina).

The current practice location address for Renae Michelle Walton is 15080 Idlewild Rd Ste F, Matthews, NC and can be reached out via phone at 704-579-1415 and via fax at 704-323-7209.

Location: 15080 Idlewild Rd Ste F, Matthews, NC, 28104-3601
person
Provider Profile Details
NPI Number
1639378706
Provider Name
Renae Michelle Walton
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
15080 Idlewild Rd Ste F, Matthews, NC, 28104-3601
Phone Number
704-579-1415
Fax Number
704-323-7209
Provider Enumeration Date
07/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2593282 01 NC MEDICARE INDIVIDUAL NUMBER
institution
Provider Business Practice Location Address Details
Address
15080 Idlewild Rd Ste F
City
State
Zip
28104-3601
Phone Number
704-579-1415
Fax Number
704-323-7209
person
Provider Business Mailing Address Details
Address
15080 Idlewild Rd Ste F
City
State
Zip
28104-3601
Phone Number
704-579-1415
Fax Number
704-323-7209
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
50042 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
5004002 (North Carolina)
Definition
Definition to come...
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