Individual
BRIAN S WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
800 PLAZA DR STE 400, ROSTRAVER TWP, PA 15012-4019
(724) 379-5802
(724) 823-0286
Mailing address
800 PLAZA DR STE 400, ROSTRAVER TWP, PA 15012-4019
(724) 379-5802
(724) 823-0286
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP011695
PA
Other
Enumeration date
12/09/2011
Last updated
07/09/2021
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