Individual provider · Type 1 NPI
Headley Junior Ricky Walters, BSN, RN
General Practice Registered Nurse · Miami, FL
NPI number
1043852809
Active
Practice location
14400 SW 32nd St
Miami, FL 33175-6545
Mailing address
22018 SW 93rd Pl
Cutler Bay, FL 33190-1230
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | RN9395952 (FL) |
General Practice Registered Nurse: Definition to come...
2 other providers at this address
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About NPI 1043852809
Headley Junior Ricky Walters, BSN, RN's National Provider Identifier is 1043852809, issued on Oct 14, 2019. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Miami, FL. The record was last updated on Oct 14, 2019.