Provider Demographics
NPI:1083375489
Name:WALTON, SHARON MARIE (RN)
Entity Type:Individual
Prefix:MISS
First Name:SHARON
Middle Name:MARIE
Last Name:WALTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8410 MIDDLE LOOP
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23235-6283
Mailing Address - Country:US
Mailing Address - Phone:804-397-4411
Mailing Address - Fax:
Practice Address - Street 1:8410 MIDDLE LOOP
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23235-6283
Practice Address - Country:US
Practice Address - Phone:804-397-4411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-07
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001238629163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse