Individual
NINA WALTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX DRAWER E, PARCHMAN, MS 38738
(662) 745-6611
Mailing address
745 LENOX DR, JACKSON, MS 39211-4106
(769) 610-1296
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R878503
MS
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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