Individual
BAILEY WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP-P
Contact information
Practice address
800 CROSS RIVER RD, KATONAH, NY 10536-3549
(716) 316-6792
Mailing address
25 MAPLE AVE APT 538, NEW ROCHELLE, NY 10801-7397
(716) 316-6792
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
803461
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F404167-01
NY
Other
Enumeration date
01/05/2021
Last updated
07/17/2024
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