Individual
MRS. DEBRA KAY WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPC
Contact information
Practice address
2709 N TEJON ST, COLORADO SPRINGS, CO 80907-6231
(719) 473-0872
(719) 630-3658
Mailing address
2709 N TEJON ST, COLORADO SPRINGS, CO 80907-6231
(719) 473-0872
(719) 630-3658
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
82294
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82294
COLORADO LICENSE
CO
01
—
C99908
MEDICARE ID TYPE
CO
Enumeration date
09/09/2005
Last updated
10/23/2007
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