Provider Demographics
NPI:1467977371
Name:WALTON, SARAH GEO (GBCE)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:GEO
Last Name:WALTON
Suffix:
Gender:F
Credentials:GBCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7693 S VIRGINIA ST
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-1114
Mailing Address - Country:US
Mailing Address - Phone:775-235-8272
Mailing Address - Fax:
Practice Address - Street 1:7693 S VIRGINIA ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-1114
Practice Address - Country:US
Practice Address - Phone:775-235-8272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-11
Last Update Date:2017-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No374J00000XNursing Service Related ProvidersDoula