| Doctor Name: | ASHLEY WALTERS |
| NPI Number: | 1104231513 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | AP125860 |
| Business Practice Address: | 6265 39th St Groves, TX - 776194614 |
| Business Phone Number: | 4099624400 |
| Business Fax Number: | |
| Mailing Address: | 640 Victor Dr, PORT NECHES |
| State: | TX |
| Postal Code: | 776514910 |
| Phone Number: | 4097490697 |
| Fax Number: | |
| NPI Enumeration Date: | 06/24/2014 |
| NPI Last Update Date: | 06/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP125860 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |