NICOLE ELAINE WALTERS

FORT WAYNE, IN
NPI1891496071
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  LPN.131735.MEDS.IV)
Enumeration Date2023-03-14
Last Update Date2023-03-14
Business Address
NICOLE ELAINE WALTERS
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
Mailing Address
NICOLE ELAINE WALTERS
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431