MEDICARE: MORGAN NICOLE WALTERS

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	363LF0000X	Family Nurse Practitioner	11045751	FL

General Provider Information

NPI Number	:	1770430787
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN NICOLE WALTERS

Provider Business Mailing Address
First Line	:	PO BOX 878
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33836-0878
Country	:	US
Telephone Number	:	689-223-3898
Fax Number	:	689-223-3898

Provider Business Practice Location Address
First Line	:	712 53RD AVE E STE C
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34203-5827
Country	:	US
Telephone Number	:	941-755-2456
Fax Number	:

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

Provider Enumeration Date	:	03/11/2026
Last Update Date	:	03/23/2026

Similar Medicare Providers

1588626584 — PADMINI G RAJAN M.D
Practice Location Address:

712 53RD AVE E
BRADENTON, FL
34203-5827

Practice Phone: 941-755-2456
Practice Fax:

1518929389 — 53RD AVE. EAST MEDICAL CENTER, P.A.
Practice Location Address:

712 53RD AVE E
BRADENTON, FL
34203-5827

Practice Phone: 941-755-2456
Practice Fax: 941-932-4795

1891757662 — DR. SREELATHA KAKARALA M.D.
Practice Location Address:

712 53RD AVE E
BRADENTON, FL
34203-5827

Practice Phone: 941-755-2456
Practice Fax:

1629182662 — DR. ERNESTO LAZARO IZQUIERDO M.D.
Practice Location Address:

712 53RD AVE E STE C
BRADENTON, FL
34203-5827

Practice Phone: 417-552-4569
Practice Fax: 877-788-3881

1972721330 — DR. ERNESTO LUIS TOLEDO M. D.
Practice Location Address:

712 53RD AVE E STE B
BRADENTON, FL
34203-5827

Practice Phone: 941-755-2456
Practice Fax:

1720264294 — MRS. JEAN MARIE EHRHARDT ARNP
Practice Location Address:

712 53RD AVE E STE C
BRADENTON, FL
34203-5827

Practice Phone: 941-755-2456
Practice Fax: 877-788-3881

Directions to “ MORGAN NICOLE WALTERS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.