Renee A Walden (NPI# 1245294602, PAC ID# 0547209512) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1245294602 |
| PAC ID by PECOS | 0547209512 |
| Professional Enrollment ID | I20050428000807 |
| Full Name | Renee A Walden |
| Address |
560 Quick Rd Castle Rock WA 98611-9324 |
| Phone Number | 3602746150 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1996 |
| Primary Specialty | NURSE PRACTITIONER |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500041 | PEACHEALTH ST JOHN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 560 Quick Rd, Castle Rock, WA 98611-9324 | 3602746150 |
| Street Address |
560 QUICK RD |
| City | CASTLE ROCK |
| State | WA |
| Zip | 98611-9324 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sean N Murray | Nurse Practitioner | Cowlitz Family Health Center | 139 1st Ave Sw, Castle Rock, WA 98611-0009 |
| Min Kuk Lee | Family Medicine | Cowlitz Family Health Center | 139 1st Ave Sw, Castle Rock, WA 98611-0009 |
| Anthony L Reyes | Family Medicine | Cowlitz Family Health Center | 139 1st Ave Sw, Castle Rock, WA 98611-0009 |
| Gerardo R Melgar | Internal Medicine | Cowlitz Family Health Center | 139 1st Ave Sw, Castle Rock, WA 98611-0009 |
| Reinhild E Ayoub | Pediatric Medicine | Cowlitz Family Health Center | 139 1st Ave Sw, Castle Rock, WA 98611-0009 |
| Emma V Torres Baltazar | General Practice | 606 Se Roake Ave, Castle Rock, WA 98611-9861 |
| City | CASTLE ROCK |
| Zip Code | 98611 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CASTLE ROCK + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Renee A Walden.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.