Individual
CHRISTY SUZANNE WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
270 NORTHLAKE BLVD STE 1008, ALTAMONTE SPRINGS, FL 32701-4335
(407) 834-3300
Mailing address
270 NORTHLAKE BLVD STE 1008, ALTAMONTE SPRINGS, FL 32701-4335
(407) 834-3300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11014758
FL
363LF0000X
Family Nurse Practitioner
Primary
11014758
FL
Other
Enumeration date
08/18/2021
Last updated
05/09/2024
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