Individual
KAITLYN M WALTERS
Active
Individual
KAITLYN M WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, WHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209028986
IL
363LW0102X
Women's Health Nurse Practitioner
Primary
209028986
IL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
209028986
IL
Other
Enumeration date
01/03/2024
Last updated
01/04/2024
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