Individual
TINA WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1675 GARDEN OF THE GODS RD, COLORADO SPRINGS, CO 80907-9444
(719) 578-3249
Mailing address
1675 GARDEN OF THE GODS RD, COLORADO SPRINGS, CO 80907-9444
(719) 578-3249
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.1625674
CO
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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