Individual
GAIL E WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
624 HOSPITAL DR, MOUNTAIN HOME, AR 72653-2955
(870) 508-1000
Mailing address
1223 COMMERCE DR STE 1, MOUNTAIN HOME, AR 72653-2617
(870) 424-7070
(870) 424-6616
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
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