Individual
ERICA WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
4590 CHILDRENS PL FL 4, SAINT LOUIS, MO 63110-1020
(314) 747-2775
(314) 273-0124
Mailing address
404 FALLING LEAF WAY, MASCOUTAH, IL 62258-2786
(618) 317-6890
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
2019010059
MO
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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