Individual
MR. JUSTIN ROBERT WALZL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
802 NEW HOLLAND AVE, SUITE 200, LANCASTER, PA 17602-2287
(717) 291-0700
(717) 291-9634
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
SP014682
PA
363LF0000X
Family Nurse Practitioner
Primary
SP012526
PA
Other
Enumeration date
11/15/2012
Last updated
11/05/2024
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