BRANDDY WALTER

MEDFORD, OR
NPI1619325438
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OR  202212643NP-PP)
Additional Taxonomies163W00000X Registered Nurse
(Licence: OR  201505008RN)
Enumeration Date2016-06-02
Last Update Date2022-08-19
Business Address
BRANDDY WALTER
3617 S PACIFIC HWY
MEDFORD, OR 97501-8957
Phone number: 541-535-6239
Mailing Address
BRANDDY WALTER
931 CHEVY WAY
MEDFORD, OR 97504-4127
Phone number: 541-690-3555