Individual
BEVERLY INGE WALTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, CPNP, CNS
Contact information
Practice address
455 S MAIN ST, ORANGE, CA 92868-3835
(714) 289-4719
Mailing address
33 SAN PATRICIO, RANCHO SANTA MARGARITA, CA 92688-2509
(949) 459-5591
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
399342
CA
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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