Individual
KAY MARIE WALTER
Active
Individual
KAY MARIE WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP, AGPCNP-BC
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
10601-33
WI
363LG0600X
Gerontology Nurse Practitioner
Primary
10601-33
WI
Other
Enumeration date
12/01/2020
Last updated
01/21/2025
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