Individual
MARY WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
712 39TH ST W, BRADENTON, FL 34205-2454
(941) 748-4602
(941) 747-9230
Mailing address
700 8TH AVE W, SUITE 101, PALMETTO, FL 34221-4737
(941) 776-4000
(941) 845-4963
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP1753342
FL
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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