| NPI | 1588242044 |
|---|---|
| Former Name | LOREN NICOLE WALDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: VA 0024179895) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001270374) |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2021-03-29 |