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Individual
DONNA R WALTERS
Active
Individual
DONNA R WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
209009739
IL
367A00000X
Advanced Practice Midwife
Primary
209017028
IL
Other
Enumeration date
11/02/2012
Last updated
08/22/2024
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