Carli Nicole Walter PA-C

NPI 1588948574 - Physician Assistant - 363AM0700X

NPI Details
NPI 1588948574
Gender Female
Enumeration Date 10/07/2011
Last Updated 10/07/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
18589 N 59TH AVE
GLENDALE AZ, 85308-1258, US
Phone (888) 381-4858
Business Location
29379 N 67TH AVE
PEORIA AZ, 85383-3013, US
Phone (623) 340-6755
Taxonomy Code 363AM0700X
License State Arizona
License Number 4891
Remove 1588948574 NPI Number

According to our database, Carli Nicole Walter PA-C NPI is 1588948574, taxonomy code is 363AM0700X and license number is 4891, license state is located at Arizona. Carli Nicole Walter PA-C physically located at 18589 N 59th Ave, Glendale AZ, 85308-1258. NPI Number Carli Nicole Walter PA-C has the Individual type.

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1588948574 NPI number is provided on an as is basis without warranty of any kind. 1588948574 is maintained by the National Plan & Provider Enumeration System. The contents of Carli Nicole Walter PA-C are for informational purposes only.