Most Relevant Information
Provider Data
| NPI Number: | 1003346800 |
| Provider Name: | HEIDI ELIZABETH WALSH FNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 21048 |
Most Important Dates
| Enumeration Date: | 06/14/2017 |
| Last Updated: | 05/21/2020 |
Provider Practice Location
322 N PINE ST
SPARTANBURG
SC
293021631
Practice Location Phone/Fax
| Phone: | 8645825099 |
| Fax: | 8645971260 |
Provider Mailing Location
520 AMBLING WAY
DUNCAN
SC
293348968
Provider Mailing Phone/Fax
| Phone: | 8644330214 |
| Fax: |