Individual provider · Type 1 NPI
Jeremy Walter, MSN, CRNP
Acute Care Nurse Practitioner · Philadelphia, PA
NPI number
1104463553
Active
Practice location
3400 Spruce St
Philadelphia, PA 19104-4238
Mailing address
2813 S Iseminger St
Philadelphia, PA 19148-4932
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | SP021097 (PA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1104463553
Jeremy Walter, MSN, CRNP's National Provider Identifier is 1104463553, issued on Dec 4, 2019. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Philadelphia, PA. The record was last updated on Dec 4, 2019.