Most Relevant Information
Provider Data
| NPI Number: | 1003670423 |
| Provider Name: | CAROLINA RENEE WALSH |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 72047 |
Most Important Dates
| Enumeration Date: | 02/07/2024 |
| Last Updated: | 02/07/2024 |
Provider Practice Location
200 NORTHVIEW PLZ
NORTH WILKESBORO
NC
286593173
Practice Location Phone/Fax
| Phone: | 3368180607 |
| Fax: |
Provider Mailing Location
200 NORTHVIEW PLZ
NORTH WILKESBORO
NC
286593173
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |