Individual
MRS. DYLLAN JOAN WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
1600 HORIZON DR STE 117, CHALFONT, PA 18914-4100
(215) 997-9737
(215) 997-9738
Mailing address
2500 MARYLAND RD STE 400, WILLOW GROVE, PA 19090-1225
(215) 481-4143
(215) 481-6790
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP010278
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024978654
—
PA
Enumeration date
01/26/2010
Last updated
10/22/2019
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