Individual
EMILY ROSE WALTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9665 CHESAPEAKE DR STE 350, SAN DIEGO, CA 92123-1352
(760) 975-1987
Mailing address
11286 MEADOW GLEN WAY E, ESCONDIDO, CA 92026-7009
(760) 975-1987
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
728145
CA
363L00000X
Nurse Practitioner
Primary
95004124
CA
Other
Enumeration date
09/06/2019
Last updated
11/08/2019
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