Individual
ALTHEA JOANNE WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
11371 N WILLIAMS ST STE 4, DUNNELLON, FL 34432-8362
(352) 465-2273
Mailing address
PO BOX 2066, LECANTO, FL 34460-2066
(352) 563-0931
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11011355
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110428000
—
FL
Enumeration date
02/03/2021
Last updated
10/18/2021
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