Doctor Name: | MRS. PATTI JANE WALTERS |
NPI Number: | 1376576413 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 423996 |
Business Practice Address: | 5342 Dudley Blvd Bldg 98 Room 1k05 Mcclellan, CA - 956521012 |
Business Phone Number: | 9165617525 |
Business Fax Number: | 9165617529 |
Mailing Address: | 7036 Yarrow Way, CITRUS HEIGHTS |
State: | CA |
Postal Code: | 956104026 |
Phone Number: | 9167224809 |
Fax Number: | |
NPI Enumeration Date: | 07/09/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC0400X |
License Number: | 423996 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Case Management |
Taxonomy Definition: |