Provider Demographics
NPI:1740163286
Name:WALTON, LEXI ELISABETH (FNP)
Entity type:Individual
Prefix:MRS
First Name:LEXI
Middle Name:ELISABETH
Last Name:WALTON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GUNLOCK
Mailing Address - State:UT
Mailing Address - Zip Code:84733-7008
Mailing Address - Country:US
Mailing Address - Phone:435-773-3735
Mailing Address - Fax:
Practice Address - Street 1:805 N MAIN ST
Practice Address - Street 2:
Practice Address - City:GUNLOCK
Practice Address - State:UT
Practice Address - Zip Code:84733-7008
Practice Address - Country:US
Practice Address - Phone:435-773-3735
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11291734-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily