Individual
MRS. JAN MARIE WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
163347 RIVER HILLS RD, WAUSAU, WI 54403-8860
(715) 551-9815
Mailing address
163347 RIVER HILLS RD, WAUSAU, WI 54403-8860
(715) 551-9815
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
114051-30
WI
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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