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General NPI Number Information
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NPI Number | 1811050909
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Entity Type | Individual
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Provider Name | JUDITH ANN WALTERS DNP, APRN, PMHCNS-BC
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Gender | Female
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 1222 SE 47TH ST STE 112
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City | CAPE CORAL
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State | FL
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Zip | 33904-9602
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Country | US
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Telephone | 239-448-5959
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Fax | 239-946-0232
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Provider Business Mailing Address
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Address Line | 1222 SE 47TH ST STE 112
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City | CAPE CORAL
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State | FL
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Zip | 33904-9602
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Country | US
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Telephone | 239-448-4949
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Fax | 239-946-0232
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 484602
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | CNS9349898
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | APRN9349898
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License Number State | FL
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