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NPI Code Detail

MEDICARE: JANET WALTERS ANP

MEDICARE: JANET WALTERS ANP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerRN117324/AP1477AZ

General Provider Information

NPI Number : 1194718395
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANET WALTERS ANP
Provider Business Mailing Address
First Line : 1331 N 7TH ST
Second Line : SUITE 375
City : PHOENIX
State : AZ
Zip : 85006-2707
Country : US
Telephone Number : 602-307-0070
Fax Number : 602-307-0080
Provider Business Practice Location Address
First Line : 1331 N 7TH ST
Second Line : SUITE 375
City : PHOENIX
State : AZ
Zip : 85006-2707
Country : US
Telephone Number : 602-307-0070
Fax Number : 602-307-0080
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2005
Last Update Date : 04/09/2021

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