Individual
KAITLIN WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
11181 HEALTH PARK BLVD STE 3010, NAPLES, FL 34110-5743
(239) 302-3290
(239) 302-3291
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
(239) 599-2612
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9327469
FL
364SF0001X
Family Health Clinical Nurse Specialist
ARNP9327469
FL
Other
Enumeration date
04/07/2017
Last updated
06/23/2021
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