Individual
ALEXANDRA NICOLE WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3545 W 95TH ST, EVERGREEN PARK, IL 60805-2135
(708) 346-5562
(708) 346-2059
Mailing address
3545 W 95TH ST, EVERGREEN PARK, IL 60805-2135
(708) 346-5562
(708) 346-2059
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
020072
IL
363L00000X
Nurse Practitioner
Primary
209020072
IL
Other
Enumeration date
11/11/2019
Last updated
04/05/2022
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