Individual
SARA WALTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
120 MOORINGS PARK DR, NAPLES, FL 34105-2122
(239) 430-6391
(239) 430-6394
Mailing address
132 MOORINGS PARK DR, NAPLES, FL 34105-2122
(239) 430-9391
(239) 430-6394
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
ARNP9383357
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HW107Y
MEDICARE
FL
01
—
Y0MT3
BCBS
FL
Enumeration date
01/02/2006
Last updated
07/21/2022
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