Individual
LOIS WALTERS-THREAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
7760 SHRADER RD STE B, HENRICO, VA 23228-2552
(804) 591-0002
(833) 449-5204
Mailing address
7330 STAPLES MILL RD # 285, RICHMOND, VA 23228-4122
(804) 724-7210
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024186903
VA
Other
Enumeration date
04/17/2023
Last updated
10/14/2025
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