NPI 1003565896
Annie Rose Walenda
Practice location
- Address
- 2995 Warrior Ln, Poplar Bluff, MO 63901-8600
- Phone
- (573) 712-2902
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1003565896
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 21 Mar 2022
- Record last updated
- 21 Mar 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.