Individual
MELISSA R WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
245 FOUNTAIN CT FL 1, LEXINGTON, KY 40509-2792
(859) 218-2626
(859) 257-3322
Mailing address
732 HIGHWAY 36, FRENCHBURG, KY 40322-8123
(606) 768-2191
(606) 768-6130
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3009795
KY
363LF0000X
Family Nurse Practitioner
Primary
3009795
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3009795
MEDICAL LICENSE
KY
05
—
7100386170
—
KY
01
—
K197590
MEDICARE
KY
Enumeration date
10/19/2015
Last updated
08/19/2022
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