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Individual

BERNADETTE EMILY WALTERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, AGCNS-BC, APRN

Contact information

Practice address
1235 8TH ST, LAS VEGAS, NM 87701-4219
(505) 425-6788
Mailing address
205 COUNTY ROAD A2, SAPELLO, NM 87745-5203
(817) 680-6598

Taxonomy

Speciality
Code
Description
License number
State
163WE0900X
Enterostomal Therapy Registered Nurse
88504
NM
163WW0000X
Wound Care Registered Nurse
88504
NM
163WX1500X
Ostomy Care Registered Nurse
88504
NM
363LG0600X
Gerontology Nurse Practitioner
Primary
76290
NM

Other

Enumeration date
12/12/2022
Last updated
07/22/2024
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