NPI 1104669829
Renata Walton
Practice location
- Address
- 13775 Highway 57 STE 7, Moscow, TN 38057-3802
- Phone
- (901) 290-2073
- Mailing address
- 3140 Cypress Run Cv, Olive Branch, MS 38654-1191
Registered specialties
Home Health Aide
Primary
Registry record
- NPI
- 1104669829
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 18 Jun 2024
- Record last updated
- 18 Jun 2024
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.