| Jack Walsh, | |
| 
					825 Clark Street, Unit A, Fairplay, CO 80440  | |
| (719) 836-4154 | |
| Not Available | 
| Full Name | Jack Walsh | 
|---|---|
| Gender | Male | 
| Speciality | Registered Nurse | 
| Location | 825 Clark Street, Fairplay, Colorado | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1932755972 | NPI | - | NPPES | 
| 1646960 | Other | CO | NURSING LICENSE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | 1646960 (Colorado) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jack Walsh, 825 Clark Street, Unit A, Fairplay, CO 80440 Ph: () -  | Jack Walsh, 825 Clark Street, Unit A, Fairplay, CO 80440 Ph: (719) 836-4154  | 
Sandra Kay Harshaw, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 899 Steinfelt Parkway, Fairplay, CO 80440 Phone: 719-836-4149 Fax: 719-836-3433  | |
Linda Whitner,  Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 825 Clark St Suite A, Fairplay, CO 80440 Phone: 719-836-4154  | |
Robin Koffman, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 825 Clark St, Fairplay, CO 80440 Phone: 719-836-4161  | |
Lynn Ann Ramey, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 899 Steinfelt Pkwy, Fairplay, CO 80440 Phone: 719-836-4149 Fax: 719-836-3433  | |
Amygrace Edwards, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 825 Clark Street, Suite A, Fairplay, CO 80440 Phone: 719-836-4154 Fax: 719-836-3433  | |
Betty Elizabeth Ballman Mclain, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 899 Steinfelt Parkway, Fairplay, CO 80440 Phone: 719-836-4149 Fax: 719-836-3433  |