Individual
EMILEY ELIZABETH WALTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1474 MAIN ST, SANFORD, ME 04073-2426
(207) 608-8425
Mailing address
15 HOSPITAL DR, YORK, ME 03909-1099
(207) 363-4321
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
ME2919
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/19/2023
Last updated
09/02/2025
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