Individual
CHRISTINE M WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3003 UNIVERSITY DR, MARINETTE, WI 54143-4110
(715) 735-4200
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(715) 735-4200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13011
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100220779
—
WI
Enumeration date
09/30/2022
Last updated
02/22/2023
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