Individual
JAIMI WALRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, AGACNP-BC
Contact information
Practice address
555 E RIVER RD, TUCSON, AZ 85704-5843
(520) 838-3540
Mailing address
555 E RIVER RD, TUCSON, AZ 85704-5843
(520) 838-3540
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN180387
AZ
363LA2100X
Acute Care Nurse Practitioner
Primary
283441
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283441
—
AZ
05
—
RN180387
—
AZ
Enumeration date
10/17/2022
Last updated
11/01/2024
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