Individual
MARIBETH WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
728 MARNE HWY STE 200A, MOORESTOWN, NJ 08057-3128
(856) 291-8855
(856) 291-8844
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ00697100
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00697100
NJ
Other
Enumeration date
01/12/2017
Last updated
09/27/2024
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