Individual
MS. PATRICIA A WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN APN C
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601
(201) 996-2470
Mailing address
311 CENTRE AVE, SECAUCUS, NJ 07094
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NN07297200
NJ
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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