Individual
BRENDA WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
1930 ALCOA HWY, SUITE 145, KNOXVILLE, TN 37920-1500
(865) 305-6650
(865) 305-5857
Mailing address
1930 ALCOA HWY, SUITE 145, KNOXVILLE, TN 37920-1500
(865) 305-6650
(865) 305-5857
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
86671
TN
363LN0000X
Neonatal Nurse Practitioner
Primary
10603
TN
Other
Enumeration date
10/12/2006
Last updated
11/07/2012
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