Andrew Walters
Registered Nurse in Rockford, IL. Individual provider (NPI-1).
NPI number1194355867
StatusActive
Last updated in NPPESJan 22, 2020
Details
- NPI
- 1194355867
- Entity type
- Individual (NPI-1)
- Name
- Andrew Walters
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 22, 2020
- Certification date
- Jan 22, 2020
- Last updated
- Jan 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 041417411 | IL | Yes |
Practice location
3815 Harrison AveRockford, IL 61108-7631
Phone 815-391-1000
Mailing address
3815 Harrison AveRockford, IL 61108-7631
Phone 815-391-1000
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