Individual
MS. DRU A WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 LAKE AVE N, PREADMISSION TESTING, WORCESTER, MA 01655-0002
(508) 856-8065
(508) 334-7345
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
193828
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0323594
—
MA
Enumeration date
07/25/2006
Last updated
03/04/2009
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