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NPI Code Detail

MEDICARE: ANGELA MCWALTER CNM

MEDICARE: ANGELA MCWALTER CNM
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
1367A00000XAdvanced Practice Midwife108316NC

General Provider Information

NPI Number : 1265660369
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA MCWALTER CNM
Provider Business Mailing Address
First Line : 1177 N ROAD ST
Second Line :
City : ELIZABETH CITY
State : NC
Zip : 27909-3388
Country : US
Telephone Number : 252-338-9080
Fax Number :
Provider Business Practice Location Address
First Line : 1177 N ROAD ST
Second Line :
City : ELIZABETH CITY
State : NC
Zip : 27909-3388
Country : US
Telephone Number : 252-338-9080
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2009
Last Update Date : 08/02/2011

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Directions to “ ANGELA MCWALTER CNM” Practice Location

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