MEDICARE: KAITLIN POSTON WALSH CPNP-AC

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
1	363L00000X	Nurse Practitioner	5023804	NC
2	163W00000X	Registered Nurse	321276	NC

General Provider Information

NPI Number	:	1346001567
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAITLIN POSTON WALSH CPNP-AC

Provider Business Mailing Address
First Line	:	5742 COULEE PL
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28217-2517
Country	:	US
Telephone Number	:	843-412-7921
Fax Number	:

Provider Business Practice Location Address
First Line	:	5742 COULEE PL
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28217-2517
Country	:	US
Telephone Number	:	843-412-7921
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2024
Last Update Date	:	03/10/2026

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