Individual
PATTI SUE WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1214 E NATIONAL AVE STE 90A, BRAZIL, IN 47834-2746
(812) 442-2900
Mailing address
1214 E NATIONAL AVE STE 90A, BRAZIL, IN 47834-2746
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
71002598A
IN
363LF0000X
Family Nurse Practitioner
71002598A
IN
Other
Enumeration date
02/20/2008
Last updated
07/20/2022
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