Individual
MS. MICHELLE WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 E END BLVD, WILKES BARRE, PA 18711-0030
(570) 824-3521
(570) 819-5122
Mailing address
1111 E END BLVD, WILKES BARRE, PA 18711-0030
(570) 824-3521
(570) 819-5122
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP007928
PA
Other
Enumeration date
10/27/2006
Last updated
07/20/2016
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