MEDICARE: PAULA WALTERS M.D.

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
1	208000000X	Pediatrics Physician	22829	NE
2	207R00000X	Internal Medicine Physician	22829	NE

General Provider Information

NPI Number	:	1255481255
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAULA WALTERS M.D.

Provider Business Mailing Address
First Line	:	7261 MERCY RD
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68124-2311
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1625 N 205TH ST
Second Line	:
City	:	ELKHORN
State	:	NE
Zip	:	68022-4759
Country	:	US
Telephone Number	:	402-758-5452
Fax Number	:	402-758-5398

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	06/23/2026

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Directions to “ PAULA WALTERS M.D.” Practice Location

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