National Provider Identifier
Eternity Angelice Walton
Eternity Angelice Walton is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 754-3350.
Profile Overview
- NPI
- 1356031595
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- May 10, 2023
- Last Updated
- May 10, 2023
Practice Location
- 72 Parkwood RD
- Rochester, NY 14615-2126
Phone: (585) 754-3350
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1356031595
- Entity Type
- Individual
- Last Name
- Walton
- First Name
- Eternity
- Middle Name
- Angelice
- Mailing Street Address
- 72 Parkwood RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14615-2126
- Mailing Country
- US
- Mailing Phone
- (585) 754-3350
- Practice Street Address
- 72 Parkwood RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14615-2126
- Practice Country
- US
- Practice Phone
- (585) 754-3350
- Enumeration Date
- May 10, 2023
- Last Updated
- May 10, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- May 10, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)