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NPI Code Detail

MEDICARE: CHRISTINE N WALTHER ANP

MEDICARE:   CHRISTINE N WALTHER  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
1363LA2200XAdult Health Nurse Practitioner300108NY

General Provider Information

NPI Number : 1558414052
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE N WALTHER ANP
Provider Business Mailing Address
First Line : 26 S GOODMAN ST
Second Line :
City : ROCHESTER
State : NY
Zip : 14607-2078
Country : US
Telephone Number : 585-244-0674
Fax Number : 585-244-3183
Provider Business Practice Location Address
First Line : 26 S GOODMAN ST
Second Line :
City : ROCHESTER
State : NY
Zip : 14607-2078
Country : US
Telephone Number : 585-244-0674
Fax Number : 585-244-3183
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2007
Last Update Date : 03/25/2010

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Directions to “ CHRISTINE N WALTHER ANP” Practice Location

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