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1881202505
TISHA LINN WALTER
ALEXANDRIA, VA
NPI
1881202505
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: VA 0024197661)
Enumeration Date
2020-07-20
Last Update Date
2020-07-20
Business Address
TISHA LINN WALTER CPNP
7015C MANCHESTER BLVD
ALEXANDRIA, VA 22310-3420
Phone number: 703-971-6900
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Mailing Address
TISHA LINN WALTER CPNP
3914 CENTREVILLE RD STE 225
CHANTILLY, VA 20151-3045
Phone number: 703-956-6301
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