Individual
CARLI NICOLE WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8325 W HAPPY VALLEY RD UNIT 105, PEORIA, AZ 85383-4361
(602) 292-3703
Mailing address
8194 W DEER VALLEY RD # 106-264, PEORIA, AZ 85382-2127
(602) 292-3703
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4891
AZ
Other
Enumeration date
10/07/2011
Last updated
09/20/2025
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