Individual provider · Type 1 NPI

Gregory Waltz, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Southfield, MI

NPI number 1811659592 Active

Practice location

29500 Southfield Rd
Southfield, MI 48076-2030

Mailing address

4936 Wood St
Waterford, MI 48329-3479

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X4704314350 (MI)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1811659592

Gregory Waltz, PMHNP's National Provider Identifier is 1811659592, issued on Oct 9, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Southfield, MI. The record was last updated on Oct 9, 2021.