Provider Demographics
NPI:1790911816
Name:WALTERS, CAMILA BALLESTEIRO (MD)
Entity Type:Individual
Prefix:
First Name:CAMILA
Middle Name:BALLESTEIRO
Last Name:WALTERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CAMILA
Other - Middle Name:BALLESTEIRO
Other - Last Name:MOTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3841 GREEN HILLS VILLAGE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2691
Mailing Address - Country:US
Mailing Address - Phone:615-936-6808
Mailing Address - Fax:615-936-4294
Practice Address - Street 1:MONROE CARELL JR CHILDRENS HOSPITAL AT
Practice Address - Street 2:2200 CHILDREN'S WAY, SUITE 3115
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-0001
Practice Address - Country:US
Practice Address - Phone:615-936-6808
Practice Address - Fax:615-936-4294
Is Sole Proprietor?:No
Enumeration Date:2009-06-03
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9070743207L00000X, 207LP3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology