Individual
ANDREA MARIE DEFELICE WALTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4010 V ST STE 1200, SACRAMENTO, CA 95817-1476
(916) 734-7211
Mailing address
4010 V ST STE 1200, SACRAMENTO, CA 95817-1476
(916) 734-7211
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95012354
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
95012354
CA
Other
Enumeration date
02/07/2020
Last updated
10/17/2023
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