Individual provider · Type 1 NPI
Teresa Cantrell Walters, FNP
Family Nurse Practitioner · Russell, PA
NPI number
1649017807
Active
Practice location
20 Pinegrove Blvd
Russell, PA 16345-1118
Mailing address
3132 Sydenton Dr
Hoover, AL 35244-5627
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 1-168597 (AL) |
| Registered Nurse | 163W00000X | RN800330 (PA) |
| Registered Nurse | 163W00000X | 975616 (NY) |
| Family Nurse Practitioner | 363LF0000X | 1-168597 (AL) |
| Family Nurse Practitioner | 363LF0000X | 356260 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | SP032543 (PA) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Russell
About NPI 1649017807
Teresa Cantrell Walters, FNP's National Provider Identifier is 1649017807, issued on Jul 13, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Russell, PA. The record was last updated on Apr 25, 2025.