Provider Demographics
NPI:1558338129
Name:WALTER, NANCY K (DO)
Entity Type:Individual
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First Name:NANCY
Middle Name:K
Last Name:WALTER
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Gender:F
Credentials:DO
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Mailing Address - Street 1:6600 S YALE AVE
Mailing Address - Street 2:STE 1400
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-3310
Mailing Address - Country:US
Mailing Address - Phone:918-488-6001
Mailing Address - Fax:918-488-6010
Practice Address - Street 1:6465 S YALE AVE
Practice Address - Street 2:STE 615
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-7822
Practice Address - Country:US
Practice Address - Phone:918-502-4600
Practice Address - Fax:918-502-4605
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2008-02-28
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Provider Licenses
StateLicense IDTaxonomies
OK2656207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKE68784Medicare UPIN