Individual
ANNIKA ELIZABETH ANAIS WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3032 UTAH AVE N, CRYSTAL, MN 55427-2545
(612) 280-2644
Mailing address
SSB-6, 400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2466784
MN
363LA2200X
Adult Health Nurse Practitioner
Primary
8645
MN
Other
Enumeration date
05/26/2020
Last updated
11/23/2021
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