Individual
NICOLE MAUREEN WALTER
Active
Individual
NICOLE MAUREEN WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MPA, IBCLC
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
200141652RN
OR
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
200141652RN
OR
Other
Enumeration date
04/25/2008
Last updated
01/22/2016
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