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NPI Code Detail

MEDICARE: BRITTANY SHARDE'E WALTON

MEDICARE:   BRITTANY SHARDE'E WALTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

General Provider Information

NPI Number : 1811303043
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY SHARDE'E WALTON
Provider Business Mailing Address
First Line : 2600 TEALWOOD DR APT 1913
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73120-1787
Country : US
Telephone Number : 214-404-6813
Fax Number : 405-843-8543
Provider Business Practice Location Address
First Line : 2600 TEALWOOD DR APT 1913
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73120-1787
Country : US
Telephone Number : 214-404-6813
Fax Number : 405-843-8543
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2014
Last Update Date : 07/09/2014

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Directions to “ BRITTANY SHARDE'E WALTON ” Practice Location

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