Provider Demographics
NPI:1942874482
Name:WALTERS, BRIGETTE (CD)
Entity Type:Individual
Prefix:MRS
First Name:BRIGETTE
Middle Name:
Last Name:WALTERS
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8911 LA SIESTA BND
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78749-3458
Mailing Address - Country:US
Mailing Address - Phone:850-341-9551
Mailing Address - Fax:
Practice Address - Street 1:8911 LA SIESTA BND
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78749-3458
Practice Address - Country:US
Practice Address - Phone:850-341-9551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-19
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula