JACK WALSH

Registered Nurse

Active Individual
NPI: 1932755972

Practice Address

825 CLARK STREET
UNIT A
Fairplay, CO 80440

Phone: (719) 836-4154

Specialties

Specialty Code Primary License
Registered Nurse 163W00000X Yes 1646960 (CO)

Frequently Asked Questions

NPI 1932755972 is the National Provider Identifier for JACK WALSH, a Registered Nurse provider located in Fairplay, CO. This NPI was enumerated on August 15, 2019.
JACK WALSH practices at 825 CLARK STREET, UNIT A, Fairplay, CO 80440.

Quick Facts

NPI
1932755972
Type
Individual
Enumerated
Aug 15, 2019
Last Updated
Aug 15, 2019

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