# DONNA R WALTERS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1053665711
- **Gender:** F
- **Credential:** CNM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LW0102X | Women's Health Nurse Practitioner | 209009739 | IL | — |
| 367A00000X | Advanced Practice Midwife | 209017028 | IL | Yes |

## Other

- **Enumeration date:** 11/02/2012
- **Last updated:** 08/22/2024
