Doctor Name: | MRS. NELDA LYNN WALTERS |
NPI Number: | 1366618233 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | VP005204B |
Business Practice Address: | 75 N Spring Rd Mercer, PA - 161373831 |
Business Phone Number: | 7247484901 |
Business Fax Number: | 7247484901 |
Mailing Address: | 75 N Spring Rd, MERCER |
State: | PA |
Postal Code: | 161373831 |
Phone Number: | 7247484901 |
Fax Number: | 7247484901 |
NPI Enumeration Date: | 05/01/2008 |
NPI Last Update Date: | 05/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | VP005204B |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |