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Heather Marie Walsh
Psychiatric/Mental Health Nurse Practitioner in Gardena, California
NPI 1700561511

Heather Marie Walsh is a Psychiatric/Mental Health Nurse Practitioner based in Los Angeles, CA and is specialized in Psychiatric/Mental Health. Heather Marie Walsh practices in Gardena, CA. The NPI Number for Heather Marie Walsh is 1700561511 and holds a License No. NP95024158 (California).

The current practice location address for Heather Marie Walsh is 1225 W 190Th St Ste 280, Gardena, CA and can be reached out via phone at 310-515-8113.

Location: 1225 W 190Th St Ste 280, Gardena, CA, 90024-5986
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700561511
Provider Name
Heather Marie Walsh
Credential
Provider Entity Type
Individual
Gender
Female
Address
1225 W 190Th St Ste 280, Gardena, CA, 90024-5986
Phone Number
310-515-8113
Fax Number
Provider Enumeration Date
06/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1225 W 190Th St Ste 280
City
Gardena
State
California
Zip
90248-4305
Phone Number
310-515-8113
Fax Number
person
Provider Business Mailing Address Details
Address
1225 W 190Th St Ste 280
City
Gardena
State
California
Zip
90248-4305
Phone Number
310-515-8113
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
NP95024158 (California)
Definition
Definition to come...
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