Provider Demographics
NPI:1295936094
Name:WALTERS, ARZELLRA (PNP)
Entity type:Individual
Prefix:MRS
First Name:ARZELLRA
Middle Name:
Last Name:WALTERS
Suffix:
Gender:F
Credentials:PNP
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Mailing Address - Street 1:31 GRANT ST
Mailing Address - Street 2:2
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-4809
Mailing Address - Country:US
Mailing Address - Phone:973-233-1752
Mailing Address - Fax:718-920-4351
Practice Address - Street 1:3415 BAINBRIDGE AVE
Practice Address - Street 2:PEDIATRIC CARDIOLOGY- CHILDREN'S HOSPITAL AT MONTEFIORE
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-2403
Practice Address - Country:US
Practice Address - Phone:718-741-2315
Practice Address - Fax:718-920-4351
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2008-02-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NYF381276363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics