Walters, Alvin Reed
Walters, Alvin Reed is an individual health care provider with primary practice located at 155 Glasson Way , Grass Valley CA 95945-5723. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Walters, Alvin Reed can be contacted via phone (530) 274-6000.Contact Information
Primary practice address
155 Glasson Way
Grass Valley CA 95945-5723
Phone: (530) 274-6000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 95010726 | California |
Profile Details
NPI number | 1659836823 |
---|---|
LBN Legal business name | Walters, Alvin Reed |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 1st, 2019 |
Last updated | Feb 1st, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1659836823 | NPPES |
Other | F01191203 | AANP BOARD CERTIFICATION NUMBER | |
Other | 95010726 | AANP BOARD CERTIFICATION NUMBER |
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