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NPI Code Detail

MEDICARE: DENISE WALTOS R.N.

MEDICARE: DENISE WALTOS R.N.
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
1101YM0800XMental Health CounselorR069833MD

General Provider Information

NPI Number : 1730533498
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENISE WALTOS R.N.
Provider Business Mailing Address
First Line : 2205 SHADED BROOK DR
Second Line :
City : OWINGS MILLS
State : MD
Zip : 21117-2347
Country : US
Telephone Number : 410-356-0545
Fax Number :
Provider Business Practice Location Address
First Line : 2205 SHADED BROOK DR
Second Line :
City : OWINGS MILLS
State : MD
Zip : 21117-2347
Country : US
Telephone Number : 410-356-0545
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2016
Last Update Date : 04/19/2016

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