# AMANDA S WALTHER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1770815730
- **Gender:** F
- **Credential:** CRNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | R176495 | MD | Yes |

## Other

- **Enumeration date:** 02/02/2010
- **Last updated:** 02/01/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 419790900 | — | MD |
| 01 | — | 962462-01 & 02 | BLUE CROSS/BLUE SHIELD | MD |
| 01 | — | S062-0383 | BLUE CROSS/BLUE SHIELD - REGIONAL | MD |