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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. STEPHANI RAE WALTON, RN, BSN, MS, CDE

Active Sole Proprietor

MS. STEPHANI RAE WALTON, RN, BSN, MS, CDE is a Diabetes Educator Nurse healthcare provider located in MANTECA, California. NPI 1114074804 is currently active in the NPPES registry. Verify at CMS.

Diabetes Educator Nurse · MANTECA, CA

Registration Details

NPI Number
1114074804
Provider Type
Individual
Gender
Female
NPI Issued
Jan 4, 2007 (19.639693218397 yrs)
Last Updated
Sep 11, 2025
Licenses
336510 (CA)
336510 (CA)
Sole Proprietor
Yes

Practice Information

Address
1777 W YOSEMITE AVE
MANTECA, CA, 953375130
Browse CA providers · Browse ZIP 95337
Phone
2098252423
Fax
2098252409
Primary Specialty
Diabetes Educator Nurse
163WD0400X
Additional Specialty
Diabetes Educator Nurse
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.