| NPI | 1811313877 |
|---|---|
| Professional Name | TIFFANY MARIE WALTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 10304898) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: NY 22685068) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: NY 22685068) | |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2015-06-06 |