Individual
NANCY WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
223 N VAN DIEN AVE, RIDGEWOOD, NJ 07450-2726
(201) 674-6158
Mailing address
6 VALLEY RD, GLEN ROCK, NJ 07452-1712
(201) 674-6158
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
26NO08331200
NJ
163WS0121X
Plastic Surgery Registered Nurse
26NO08331200
NJ
Other
Enumeration date
10/31/2013
Last updated
11/04/2013
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