Individual
KRYSTAL NELLA WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
30805 ANN ARBOR TRL, WESTLAND, MI 48185-2482
(734) 744-7084
Mailing address
16938 WHITE HAVEN DR, NORTHVILLE, MI 48168-2364
(734) 837-4741
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704323078
MI
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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