Individual
ELIZABETH CORI WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP- C
Contact information
Practice address
601 N 15TH AVE, LAUREL, MS 39440-3839
(601) 651-6362
Mailing address
601 N 15TH AVE, LAUREL, MS 39440-3839
(601) 651-6362
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
905113
MS
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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