Walters, Dorthia S

Walters, Dorthia S is an individual health care provider with primary practice located at 106 Walker St , Houlka MS 38850-9453. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Walters, Dorthia S can be contacted via phone (662) 568-3316.

Contact Information

Primary practice address
106 Walker St Houlka MS 38850-9453
Phone: (662) 568-3316
Fax: (662) 568-3360
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R573388 Mississippi

Profile Details

NPI number 1306860697
LBN Legal business name Walters, Dorthia S
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jan 14th, 2016 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306860697 NPPES
Mississippi MEDICAID 07770365

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