Keonna L Walton, FNP-C | |
5230 Campbell Blvd, Nottingham, MD 21236-4983 | |
(410) 933-9680 | |
Not Available |
Full Name | Keonna L Walton |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 5230 Campbell Blvd, Nottingham, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013628049 | NPI | - | NPPES |
209828800 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R212503 (Maryland) | Primary |
Entity Name | Minuteclinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134191836 PECOS PAC ID: 6709850241 Enrollment ID: O20050127001141 |
Entity Name | Total Health Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972597425 PECOS PAC ID: 0446258487 Enrollment ID: O20071107000802 |
Mailing Address | Practice Location Address |
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Keonna L Walton, FNP-C 5230 Campbell Blvd, Nottingham, MD 21236-4983 Ph: (410) 933-9680 | Keonna L Walton, FNP-C 5230 Campbell Blvd, Nottingham, MD 21236-4983 Ph: (410) 933-9680 |
Emily Niles, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8114 Sandpiper Cir, Nottingham, MD 21236 Phone: 410-933-8101 | |
Debrahe K. Rowland, AG-ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4924 Campbell Blvd, Nottingham, MD 21236 Phone: 443-442-2300 | |
Mrs. Paula Joy Ison, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9309 Belair Rd Ste D, Nottingham, MD 21236 Phone: 410-505-7952 | |
Myeisha Furr, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9649 Belair Rd Fl 2, Nottingham, MD 21236 Phone: 410-256-9340 Fax: 410-601-1052 | |
Emma Canto-vaught, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8114 Sandpiper Cir Ste 100, Nottingham, MD 21236 Phone: 410-933-8101 | |
Mr. Carlos A Romero-escobar Jr., FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8605 Ridgelys Choice Dr, Nottingham, MD 21236 Phone: 855-910-3278 |