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

Renae Michelle Walton is a Primary Care Nurse Practitioner based in Charlotte, NC and is specialized in Primary Care. Renae Michelle Walton practices in Charlotte, 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 1213 W Morehead St Fl 5, Charlotte, NC and can be reached out via phone at 980-780-2307 and via fax at 980-780-2308.

Location: 1213 W Morehead St Fl 5, Charlotte, NC, 28208-5576
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Provider Profile Details
NPI Number
1639378706
Provider Name
Renae Michelle Walton
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1213 W Morehead St Fl 5, Charlotte, NC, 28208-5576
Phone Number
980-780-2307
Fax Number
980-780-2308
Provider Enumeration Date
07/17/2007
Last Update Date
02/15/2025
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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
1213 W Morehead St Fl 5
City
State
Zip
28208-5576
Phone Number
980-780-2307
Fax Number
980-780-2308
person
Provider Business Mailing Address Details
Address
1213 W Morehead St Fl 5
City
State
Zip
28208-5576
Phone Number
980-780-2307
Fax Number
980-780-2308
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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