LIA MARIE WALTHER


Address: 6845 Rancho Los Pavos Ln, Granite Bay, CA 95746-7349
Phone: 9167687326

LIA MARIE WALTHER (NPI# 1427485770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427485770
Entity Type Individual
Full Name LIA MARIE WALTHER
Credential NP
Practice Address 6845 Rancho Los Pavos Ln
Granite Bay
CA 95746-7349
Practice Telephone 9167687326
Mailing Telephone 9167687326
Enumeration Date 2013-10-02
Last Update Date 2013-10-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
6572 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6845 RANCHO LOS PAVOS LN
City GRANITE BAY
State CA
Zip Code 95746-7349

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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194932970 Wendy Sue Wells Nurse Practitioner 8850 Auburn Folsom Rd, Ste A, Granite Bay, CA 95746-6525 2007-05-17

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Competitor

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City GRANITE BAY
Zip Code 95746

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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