Walther, Elizabeth R.

Walther, Elizabeth R. is an individual health care provider with primary practice located at 206 Park Place Blvd , Kissimmee FL 34741-2344. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Walther, Elizabeth R. can be contacted via phone (407) 846-0023.

Contact Information

Primary practice address
206 Park Place Blvd Kissimmee FL 34741-2344
Fax: (407) 483-1064
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X ARNP 490852 Florida

Profile Details

NPI number 1932140787
LBN Legal business name Walther, Elizabeth R.
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Oct 11th, 2011 - about 15 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 1932140787 NPPES
Florida MEDICAID 3008444 00
Florida Other 1/1/06 - 12/31/10

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