Individual
EMILY GIBSON WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
7780 BRIER CREEK PKWY STE 200, RALEIGH, NC 27617-7869
(919) 596-3400
(919) 596-3499
Mailing address
5213 S ALSTON AVE, DURHAM, NC 27713-4430
(919) 620-4855
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5005391
NC
Other
Enumeration date
11/04/2011
Last updated
07/13/2021
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