Individual provider · Type 1 NPI

Branddy Walter

Family Nurse Practitioner · Medford, OR

NPI number 1619325438 Active

Practice location

3617 S Pacific Hwy
Medford, OR 97501-8957

Fax (541) 842-2212

Mailing address

931 Chevy Way
Medford, OR 97504-4127

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X201505008RN (OR)
Family Nurse Practitioner Primary 363LF0000X202212643NP-PP (OR)

Family Nurse Practitioner: Definition to come...

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About NPI 1619325438

Branddy Walter's National Provider Identifier is 1619325438, issued on Jun 2, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Medford, OR. The record was last updated on Aug 19, 2022.