Provider Demographics
NPI:1225596893
Name:WALTERS, ALLISON LEIGH (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:LEIGH
Last Name:WALTERS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 TRINITY DR E STE 120
Mailing Address - Street 2:
Mailing Address - City:DILLSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17019-8522
Mailing Address - Country:US
Mailing Address - Phone:717-432-0409
Mailing Address - Fax:
Practice Address - Street 1:1 TRINITY DR E STE 120
Practice Address - Street 2:
Practice Address - City:DILLSBURG
Practice Address - State:PA
Practice Address - Zip Code:17019-8522
Practice Address - Country:US
Practice Address - Phone:717-432-5430
Practice Address - Fax:717-432-9296
Is Sole Proprietor?:No
Enumeration Date:2019-03-03
Last Update Date:2021-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP020033363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily