Individual provider · Type 1 NPI

Chadbourne Walters, APNP

Nurse Practitioner · Appleton, WI

NPI number 1801482294 Active

Practice location

2105 E Enterprise Ave, Ste 111
Appleton, WI 54913-7862

Fax (920) 731-6732

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X10333 (WI)
Nurse Practitioner Primary 363L00000X10333-33 (WI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1801482294

Chadbourne Walters, APNP's National Provider Identifier is 1801482294, issued on Dec 19, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Appleton, WI. The record was last updated on Sep 14, 2021.