Individual
DEANNA LYNNE WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2511 OLD CORNWALLIS RD, DURHAM, NC 27713-1869
(844) 932-5700
Mailing address
713 MCRAE RD, CARY, NC 27519-0117
(919) 323-6841
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5011329
NC
363LF0000X
Family Nurse Practitioner
Primary
5011329
NC
Other
Enumeration date
01/04/2019
Last updated
02/15/2019
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