person
Lucille Ellen Burns Walter, NP
Family Nurse Practitioner in Spartanburg, South Carolina
NPI 1992236798

Lucille Ellen Burns Walter is a Family Nurse Practitioner based in Atlanta, SC and is specialized in Family. Lucille Ellen Burns Walter practices in Spartanburg, SC and has the professional credentials of NP. The NPI Number for Lucille Ellen Burns Walter is 1992236798 and holds a License No. 20874 (South Carolina).

The current practice location address for Lucille Ellen Burns Walter is 1200 E Main St, Spartanburg, SC and can be reached out via phone at 864-560-9260 and via fax at 864-560-9265.

Location: 1200 E Main St, Spartanburg, SC, 30374-3070
person
Provider Profile Details
NPI Number
1992236798
Provider Name
Lucille Ellen Burns Walter
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1200 E Main St, Spartanburg, SC, 30374-3070
Phone Number
864-560-9260
Fax Number
864-560-9265
Provider Enumeration Date
03/23/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SCA2356121 01 SC MEDICARE PTAN
SCA2355019 01 SC MEDICARE PIN
SCA235J577 01 SC MEDICARE PIN
NP4420 05 SC
SCA2356067 01 SC MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
1200 E Main St
City
State
Zip
29307-1711
Phone Number
864-560-9260
Fax Number
864-560-9265
person
Provider Business Mailing Address Details
Address
1200 E Main St
City
State
Zip
29307-1711
Phone Number
864-560-9260
Fax Number
864-560-9265
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
20874 (South Carolina)
Definition
Definition to come...
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