Provider Demographics
NPI:1497083836
Name:WALTON, CHRISTINA SUE (RN)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:SUE
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 1:1126 1/2 LAFAYETTE AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45044-5712
Mailing Address - Country:US
Mailing Address - Phone:513-727-8420
Mailing Address - Fax:
Practice Address - Street 1:1126 1/2 LAFAYETTE AVE
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45044-5712
Practice Address - Country:US
Practice Address - Phone:513-727-8420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-23
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 139214163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse