Individual
MRS. KATHERINE ANNE WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-BC
Contact information
Practice address
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4160
(260) 435-7001
Mailing address
9317 BLUE ASH CT, FORT WAYNE, IN 46804-7739
(516) 974-3225
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
28238133A
IN
Other
Enumeration date
03/12/2024
Last updated
03/13/2024
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