Regine Walton, L.P.N.

Individual provider Active NPI Licensed Practical Nurse · Freeport, NY

NPI 1669734752 · NPPES record last updated Jun 13, 2012

Key facts

NPI
1669734752
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
2412381 (NY)
Practice address
70 E Seaman Ave
Freeport, NY 11520-1628
Phone
(516) 992-2769
NPI assigned
Jun 13, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2412381NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 2412381 NY Yes

Addresses

Primary practice location

70 E Seaman Ave
Freeport, NY 11520-1628

Mailing address

70 E Seaman Ave
Freeport, NY 11520-1628
Phone (516) 992-2769

Other providers in Freeport, NY

All providers in Freeport, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.