Individual
MS. SANDRA WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1340 HAL GREER BLVD, HUNTINGTON, WV 25701-3804
(304) 399-6727
(304) 399-1507
Mailing address
1340 HAL GREER BLVD, HUNTINGTON, WV 25701-3804
(304) 399-6727
(304) 399-6726
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3014369
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0392078
—
OH
05
—
1689207516
—
WV
05
—
7100652340
—
KY
Enumeration date
02/19/2020
Last updated
04/13/2021
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