Individual
CAROLYN T WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4870 S LEWIS AVE, SUITE 130, TULSA, OK 74105-5151
(918) 398-6810
(918) 398-6811
Mailing address
4617 S FLORENCE PL, TULSA, OK 74105-5217
(918) 743-4347
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R0022683
OK
Other
Enumeration date
06/22/2006
Last updated
07/08/2007
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