Individual
MR. MICHAEL A. WALTERMYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
307 S WALTON BLVD APT 205, BENTONVILLE, AR 72712-2099
(901) 734-4305
Mailing address
307 S WALTON BLVD APT 205, BENTONVILLE, AR 72712-2099
(901) 734-4305
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2018028138
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
214699
AR
367500000X
Certified Registered Nurse Anesthetist
43-557624
KS
Other
Enumeration date
03/21/2017
Last updated
01/23/2026
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