Provider Demographics
NPI:1619091170
Name:WALTERSCHEID, JOAN C (RN, CDE)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:C
Last Name:WALTERSCHEID
Suffix:
Gender:F
Credentials:RN, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 161
Mailing Address - Street 2:16810 WEST HWY 82
Mailing Address - City:MUENSTER
Mailing Address - State:TX
Mailing Address - Zip Code:76252-0161
Mailing Address - Country:US
Mailing Address - Phone:940-759-4296
Mailing Address - Fax:940-759-4296
Practice Address - Street 1:16810 WEST HWY 82
Practice Address - Street 2:
Practice Address - City:MUENSTER
Practice Address - State:TX
Practice Address - Zip Code:76252-0161
Practice Address - Country:US
Practice Address - Phone:940-759-4296
Practice Address - Fax:940-759-4296
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX218472163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator