Individual
GAIL E WALTER
Active
Individual
GAIL E WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C01537
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175684001
—
AR
01
—
771090701
BREASTCARE
AR
01
—
C01537
CRNA LICENSE
AR
Enumeration date
05/23/2008
Last updated
07/13/2009
Update your record
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